Individual
RYAN ANDREA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
11681 VOYAGER PKWY, COLORADO SPRINGS, CO 80921-3861
(719) 344-9342
Mailing address
5442 MAJESTIC DR, COLORADO SPRINGS, CO 80919-3540
(214) 732-2497
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-47514
—
106S00000X
Behavior Technician
RBT-16-15834
CO
Other
Enumeration date
11/13/2018
Last updated
06/02/2021
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