Individual
CLARISSA LANETH MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6317 S REED BUNTING DR, TUCSON, AZ 85757-7957
(520) 668-4068
Mailing address
6317 S REED BUNTING DR, TUCSON, AZ 85757-7957
(520) 668-4068
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
D08526804
AZ
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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