Individual provider · NPI-1

Laura Yaniret Martin

Behavior Technician · Greenacres, FL

NPI number1649779687
StatusActive
Last updated in NPPESMar 1, 2022

Details

NPI
1649779687
Entity type
Individual (NPI-1)
Name
Laura Yaniret Martin
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 5, 2018
Certification date
Mar 1, 2022
Last updated
Mar 1, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-20-122876FLYes
222Q00000X Developmental Therapist––

Practice location

6801 Lake Worth Rd Ste 322
Greenacres, FL 33467-2966

Phone 561-771-9561 · Fax 800-766-3139

Mailing address

15106 Glenmoor Dr
West Palm Beach, FL 33409-2811

Phone 561-480-6962

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