Tiera Diane Martinez
Behavior Technician in Bountiful, UT. Individual provider (NPI-1).
NPI number1619705746
StatusActive
Last updated in NPPESJul 22, 2024
Details
- NPI
- 1619705746
- Entity type
- Individual (NPI-1)
- Name
- Tiera Diane Martinez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2024
- Certification date
- Jul 22, 2024
- Last updated
- Jul 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
415 Medical Dr Ste A100Bountiful, UT 84010-4995
Phone 801-683-1062
Mailing address
415 Medical Dr Ste A100Bountiful, UT 84010-4995
Phone 801-683-1062
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All 463 Behavior Technician providers in Bountiful · All 1,764 providers in Bountiful
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