Individual
DONNA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
310 N LOOMIS ST, CHICAGO, IL 60607-1147
(773) 441-6040
Mailing address
1233 W ADAMS ST, CHICAGO, IL 60607-2801
(773) 441-6040
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-68498
IL
106S00000X
Behavior Technician
RBT-20-145683
IL
Other
Enumeration date
05/19/2021
Last updated
10/04/2023
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