Individual
CAITLYN MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
601 FLAGHOUSE DR, HASBROUCK HEIGHTS, NJ 07604-3118
(201) 660-8270
Mailing address
601 FLAGHOUSE DR, HASBROUCK HEIGHTS, NJ 07604-3118
(201) 660-8270
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-20-45463
BACB CERTIFICATION
—
Enumeration date
10/30/2020
Last updated
10/30/2020
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