Individual
RITA ANNE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 BRANDONS BLF, STAFFORD, VA 22554-5300
(571) 435-4025
Mailing address
2761 JEFFERSON DAVIS HWY STE 107, STAFFORD, VA 22554-8330
(571) 435-4025
(888) 970-0143
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
VA
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HRTM6V7
KEISER PERMENETE
VA
Enumeration date
02/19/2020
Last updated
02/19/2020
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