Laura Diaz Martinez
Behavior Technician in Jacksonville, FL. Individual provider (NPI-1).
NPI number1124863394
StatusActive
Last updated in NPPESJun 28, 2024
Details
- NPI
- 1124863394
- Entity type
- Individual (NPI-1)
- Name
- Laura Diaz Martinez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2024
- Certification date
- Jun 28, 2024
- Last updated
- Jun 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-24-355378 | FL | Yes |
Practice location
6817 Southpoint PkwyJacksonville, FL 32216-6282
Phone 904-895-5865
Mailing address
Po Box 253Skillman, NJ 08558-0253
Phone 904-895-5865
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