Omar Ciriaco Martinez
Behavior Analyst in Palm Springs, CA. Individual provider (NPI-1).
NPI number1841925252
StatusActive
Last updated in NPPESJul 19, 2022
Details
- NPI
- 1841925252
- Entity type
- Individual (NPI-1)
- Name
- Omar Ciriaco Martinez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2022
- Certification date
- Jul 19, 2022
- Last updated
- Jul 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
1111 E Tahquitz Canyon WayPalm Springs, CA 92262-6788
Phone 951-440-6220
Mailing address
85839 Avenida RaylynnCoachella, CA 92236-3126
Phone 760-899-4307
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