Individual
CASSIDY MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2801 W HOWARD ST, CHICAGO, IL 60645-1228
(773) 305-6400
Mailing address
1240 CHALET RD APT 303, NAPERVILLE, IL 60563-8964
(331) 250-9926
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-8360-743243
IL
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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