Individual
JEANNAYRA CRYSTAL MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
466 MAIN ST # LL208E, NEW ROCHELLE, NY 10801-6431
(347) 582-7086
Mailing address
1565 ODELL ST APT 8E, BRONX, NY 10462-7036
(347) 582-7086
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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