Individual
FABIAN ALEJANDRO MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
470 16TH ST NW APT 1028, ATLANTA, GA 30363-3003
(678) 799-0691
Mailing address
1055 E COLORADO BLVD STE 560, PASADENA, CA 91106-2380
(818) 241-6780
(818) 241-6853
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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