Carlos Enrique Martin
Behavior Technician in Homestead, FL. Individual provider (NPI-1).
NPI number1467062018
StatusActive
Last updated in NPPESMay 15, 2023
Details
- NPI
- 1467062018
- Entity type
- Individual (NPI-1)
- Name
- Carlos Enrique Martin
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 7, 2020
- Certification date
- May 15, 2023
- Last updated
- May 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
12989 Sw 251st TerHomestead, FL 33032-5788
Phone 786-650-5761
Mailing address
6276 Nw 186th St Apt 205Hialeah, FL 33015-6056
Phone 786-650-5761
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