Individual
ABIGAIL MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7145 BODKIN WAY, NEW MARKET, MD 21774-6963
(253) 254-8843
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MHC131078651001
BLUE SHIELD
WA
Enumeration date
01/25/2023
Last updated
02/28/2023
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