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Individual

SAMANTHA ROSE MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6 REGENT ST, LIVINGSTON, NJ 07039-1636
(973) 509-3050
(973) 740-2021
Mailing address
118 ASHLAND AVE, BLOOMFIELD, NJ 07003-2302
(862) 368-8933

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
NJ
347C00000X
Private Vehicle
NJ

Other

Enumeration date
02/02/2026
Last updated
02/02/2026
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