Individual
ELYANA LUCIA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
1393 GEORGE DIETER DR STE A, EL PASO, TX 79936-7410
(915) 257-5782
Mailing address
1031 CALLISTO CT, EL PASO, TX 79927-4299
(915) 216-4744
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
4372
TX
Other
Enumeration date
11/18/2021
Last updated
02/10/2022
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