Individual
MAYRA ISABEL MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3841 SAGEBRIAR DR, BRYAN, TX 77802-6107
(210) 447-0039
Mailing address
9314 RYDER DR, SAN ANTONIO, TX 78254-2000
(210) 447-0039
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
6206
TX
106S00000X
Behavior Technician
—
—
183700000X
Pharmacy Technician
—
TX
Other
Enumeration date
06/09/2021
Last updated
09/07/2023
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