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Individual
LESLIE MARTINEZ
Active
Individual
LESLIE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-23-65403
BEHAVIOR ANALYST CERTIFICATION BOARD
FL
05
—
118185300
—
FL
Enumeration date
05/18/2023
Last updated
07/18/2023
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