Hector Raphel Martinez
Behavior Technician in Bronx, NY. Individual provider (NPI-1).
NPI number1982242236
StatusActive
Last updated in NPPESDec 17, 2019
Details
- NPI
- 1982242236
- Entity type
- Individual (NPI-1)
- Name
- Hector Raphel Martinez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 17, 2019
- Certification date
- Dec 17, 2019
- Last updated
- Dec 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
727 Morris Park AveBronx, NY 10462-3653
Phone 631-519-0761
Mailing address
120 De Kruif Pl Apt 3hBronx, NY 10475-2348
Phone 910-574-5804
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