Individual
DEYON ELIJAH MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BEHAVIOR TECHNICIAN
Contact information
Practice address
506 MANZANARES AVE E, SOCORRO, NM 87801-4218
(575) 517-5579
Mailing address
506 MANZANARES AVE E, SOCORRO, NM 87801-4218
(575) 517-5579
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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