Individual
JENNY MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2132 N AUSTIN AVE, CHICAGO, IL 60639-2707
(312) 966-9332
Mailing address
2132 N AUSTIN AVE, CHICAGO, IL 60639-2707
(312) 966-9332
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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