Individual
SAVANNAH A MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28202 CABOT RD STE 300, LAGUNA NIGUEL, CA 92677
(949) 295-3233
Mailing address
28202 CABOT RD STE 300, LAGUNA NIGUEL, CA 92677-1249
(949) 295-3233
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1111111111
NA
CA
Enumeration date
11/14/2022
Last updated
11/14/2022
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