Individual
VANESSA ROSARIO MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4508 COLUMBIA AVE, HAMMOND, IN 46327-1665
(219) 228-1099
Mailing address
4508 COLUMBIA AVE, HAMMOND, IN 46327-1665
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-71671
IN
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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