Individual
MANUEL MARTINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
472 LATHAM RD, MINEOLA, NY 11501-1007
(516) 439-1710
Mailing address
472 LATHAM RD, MINEOLA, NY 11501-1007
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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