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Individual

MS. JENNIFER MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CBT

Contact information

Practice address
705 PACIFIC AVE, TACOMA, WA 98402-5207
(833) 971-1230
Mailing address
705 PACIFIC AVE, TACOMA, WA 98402-5207
(833) 971-1230

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
60796179
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1871961805
CAPRE DIEM ACADEMY
WA
Enumeration date
12/10/2019
Last updated
12/10/2019
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