Individual
DIEGO MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, RBT
Contact information
Practice address
3652 CALICO COVE CT, LAS VEGAS, NV 89147-6801
(702) 769-4293
Mailing address
8037 MACKENZIE CT, LAS VEGAS, NV 89129-4867
(702) 769-4293
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/23/2021
Last updated
10/02/2024
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