Individual
JEYSEL MELIAN MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 SE 30TH ST, CAPE CORAL, FL 33904-3429
(813) 703-4304
Mailing address
320 SE 30TH ST, CAPE CORAL, FL 33904-3429
(813) 703-4304
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
RBT-23-311178
FL
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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