Individual
JENNIFER LUISA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8403 57TH AVE, ELMHURST, NY 11373-4833
(718) 899-9060
Mailing address
1489 E 32ND ST, BROOKLYN, NY 11234-3403
(646) 552-5200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Enumeration date
01/15/2018
Last updated
01/15/2018
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