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Organization

ROOTS BEHAVIOR, LLC

Active
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Organization

ROOTS BEHAVIOR, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YASHIRA N MARTINEZ (BCBA/OWNER)
(239) 841-9035
Entity
Organization

Contact information

Practice address
12535 NEW BRITTANY BLVD UNIT 2801, FORT MYERS, FL 33907-3625
(239) 841-9035
(941) 866-2685
Mailing address
1510 OAK DR, FORT MYERS, FL 33907-2816
(239) 841-9035
(941) 866-2685

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106E00000X
Assistant Behavior Analyst
106S00000X
Behavior Technician

Other

Enumeration date
11/09/2021
Last updated
04/06/2022
About Stedi
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  • EDI platform