Individual
JOHN ANDREW MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 N AUBURN, FARMINGTON, NM 87401
(505) 427-1621
Mailing address
211 N AUBURN, FARMINGTON, NM 87401
(505) 427-1621
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
501278564
NM
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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