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Individual

ELIER MARTINEZ CASTRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8001 BEATY GROVE DR, TAMPA, FL 33626-1602
(813) 926-5454
Mailing address
6213 N THATCHER AVE, TAMPA, FL 33614-4836
(813) 203-9995

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-21-11916
FL
106S00000X
Behavior Technician
RBT-19-88792
FL

Other

Enumeration date
06/18/2019
Last updated
05/12/2021
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