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Individual

ISMERY D MORALES MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3240 AIRFIELD DR E, LAKELAND, FL 33811-1247
(407) 486-3297
Mailing address
7220 BROWN FOX RUN, LAKELAND, FL 33810-2636
(407) 486-3297

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-20-43634
FL
103K00000X
Behavior Analyst
9125
TX
235Z00000X
Speech-Language Pathologist
Primary
SA-20455
FL

Other

Enumeration date
09/22/2017
Last updated
10/12/2025
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