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Organization
EASTERSEALS
Active
Organization
EASTERSEALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE MARTINEZ (BEHAVIOR INTERVENTIONIST)
(760) 221-3000
Entity
Organization
Contact information
Practice address
4688 ONTARIO MILLS PKWY, ONTARIO, CA 91764-5104
(760) 221-3000
Mailing address
4688 ONTARIO MILLS PKWY, ONTARIO, CA 91764-5104
(760) 221-3000
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/08/2026
Last updated
07/07/2026
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