Individual
DAISY MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1550 W CRAIG RD, NORTH LAS VEGAS, NV 89032-0327
(702) 766-9840
Mailing address
4413 ALPINE PL, LAS VEGAS, NV 89107-4210
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1404806687
NV
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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