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Individual

MR. FERNANDO W MARTINEZ II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, BCBA, LBA

Contact information

Practice address
4848 E ROOSEVELT ST APT 3006, PHOENIX, AZ 85008-7338
(602) 688-4080
(602) 892-1829
Mailing address
4848 E ROOSEVELT ST APT 3006, PHOENIX, AZ 85008-7338
(602) 688-4080
(602) 892-1829

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-18-32500
CA
103K00000X
Behavior Analyst
3435
TX
103K00000X
Behavior Analyst
Primary
BEH-001338
AZ
103K00000X
Behavior Analyst
Primary
AZ
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
02/13/2012
Last updated
01/21/2026
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