Individual
ACASIA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11906 WEIDNER ROAD, SAN ANTONIO, TX 78233
(210) 850-3402
Mailing address
11906 WEIDNER ROAD, SAN ANTONIO, TX 78233
(210) 850-3402
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-234706
TX
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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