Individual
SHANIYA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 GENE AVE NW, ALBUQUERQUE, NM 87107-5405
(818) 800-9141
Mailing address
620 GENE AVE NW, ALBUQUERQUE, NM 87107-5405
(818) 800-9141
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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