Individual
ADAM ALEXANDER MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2151 E CONVENTION CENTER WAY STE 103, ONTARIO, CA 91764-5449
(909) 259-5600
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
Y3505226
CA
Other
Enumeration date
08/16/2020
Last updated
08/16/2020
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