Individual
KEVIN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1010 WAYNE AVE STE 675, SILVER SPRING, MD 20910-5676
(240) 292-1719
Mailing address
1010 WAYNE AVE STE 675, SILVER SPRING, MD 20910-5676
(240) 292-1719
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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