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Individual

ASHLEY MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1233 LAKE PLAZA DR, COLORADO SPRINGS, CO 80906
(970) 388-5089
Mailing address
1233 LAKE PLAZA DR, COLORADO SPRINGS, CO 80906-3557
(719) 888-0609

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-30997
CO
103TM1800X
Intellectual & Developmental Disabilities Psychologist
103TP0814X
Psychoanalysis Psychologist
106S00000X
Behavior Technician

Other

Enumeration date
03/07/2017
Last updated
06/26/2018
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