Brenda Karina Martinez
Behavior Technician in Petaluma, CA. Individual provider (NPI-1).
NPI number1982186854
StatusActive
Last updated in NPPESSep 6, 2018
Details
- NPI
- 1982186854
- Entity type
- Individual (NPI-1)
- Name
- Brenda Karina Martinez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2018
- Last updated
- Sep 6, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
101 H St Ste LPetaluma, CA 94952-5100
Phone 866-206-2008
Mailing address
1622 81st AveOakland, CA 94621-2342
Phone 714-313-2230
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