Individual
MARIAH LARYSSA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9713 WINDOM POINT AVE, LAS VEGAS, NV 89129-7921
(669) 350-8713
Mailing address
9713 WINDOM POINT AVE, LAS VEGAS, NV 89129-7921
(669) 350-8713
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
06/08/2022
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