Individual
MONICA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10300 SW 72ND ST STE 114, MIAMI, FL 33173-3038
(305) 508-5580
Mailing address
4575 SE DIXIE HWY, STUART, FL 34997-6826
(885) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-16-7181
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020836800
—
FL
Enumeration date
09/25/2012
Last updated
07/09/2019
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