Kassaundra Monique Martinez
Behavior Technician in Fresno, CA. Individual provider (NPI-1).
NPI number1124652011
StatusActive
Last updated in NPPESFeb 28, 2020
Details
- NPI
- 1124652011
- Entity type
- Individual (NPI-1)
- Name
- Kassaundra Monique Martinez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 28, 2020
- Certification date
- Feb 28, 2020
- Last updated
- Feb 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
7339 N 1st St Ste 110Fresno, CA 93720-2954
Phone 916-729-3098
Mailing address
4674 W Shields AveFresno, CA 93722-5140
Phone 559-475-1543
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