Individual
SELMA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
10769 BROADWAY STE 208, CROWN POINT, IN 46307-7316
(855) 690-2192
(888) 972-2192
Mailing address
2104 DAYBREAK DR, LAKE IN THE HILLS, IL 60156-6409
(855) 690-2192
(888) 972-2192
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1021012
IL
103K00000X
Behavior Analyst
Primary
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
05/08/2007
Last updated
08/09/2019
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