Individual
JENNIFER STEPHANIE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3108 BLUFF AVE, FORT SMITH, AR 72901-6717
(479) 769-9117
Mailing address
3108 BLUFF AVE, FORT SMITH, AR 72901-6717
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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