Itzel Molina Martinez
Behavior Technician in Mesa, AZ. Individual provider (NPI-1).
NPI number1447925581
StatusActive
Last updated in NPPESAug 11, 2021
Details
- NPI
- 1447925581
- Entity type
- Individual (NPI-1)
- Name
- Itzel Molina Martinez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 11, 2021
- Certification date
- Aug 11, 2021
- Last updated
- Aug 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2045 S Vineyard Ste 223Mesa, AZ 85210-6826
Phone 480-656-3530
Mailing address
2045 S Vineyard Ste 223Mesa, AZ 85210-6826
Phone 480-656-3530
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