Individual
JACKELINE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2617 SOL DE VIDA NW, ALBUQUERQUE, NM 87120-1333
(505) 544-9913
Mailing address
2617 SOL DE VIDA NW, ALBUQUERQUE, NM 87120-1333
(505) 544-9913
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
516624477
NM
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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