Individual
RONALD MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMA, MENTAL HEALTH
Contact information
Practice address
3465 MCNUTT RD, SUNLAND PARK, NM 88063-9056
(575) 915-1338
(575) 915-1819
Mailing address
3465 MCNUTT RD, SUNLAND PARK, NM 88063-9056
(575) 915-1338
(575) 915-1819
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
175T00000X
Peer Specialist
Primary
—
NM
Other
Enumeration date
03/15/2019
Last updated
03/15/2019
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