Individual
ALYSSIA AUREA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 FAIRWAY DR STE 102, DEERFIELD BEACH, FL 33441-1817
(877) 418-2978
(866) 500-2186
Mailing address
6555 OLD LAKE WILSON RD LOT 119, DAVENPORT, FL 33896-9491
(407) 613-9356
(866) 500-2186
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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