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Alyssa Yvette Martinez

Behavior Technician in Fremont, CA. Individual provider (NPI-1).

NPI number1770114902
StatusActive
Last updated in NPPESJan 27, 2020

Details

NPI
1770114902
Entity type
Individual (NPI-1)
Name
Ms. Alyssa Yvette Martinez
Sex
Female
Sole proprietor
No
Enumeration date
Jan 27, 2020
Certification date
Jan 27, 2020
Last updated
Jan 27, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

39201 State St
Fremont, CA 94538-1437

Phone 866-206-2008

Mailing address

910 Antelope Ter
Brentwood, CA 94513-1807

Phone 408-767-5326

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Behavior Technician providers in Fremont, CA

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