Individual
BERENICE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9905 FALL CREEK RD, INDIANAPOLIS, IN 46256-4804
(317) 813-4690
Mailing address
311 N EATON AVE, INDIANAPOLIS, IN 46219-5346
(317) 726-9282
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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