Individual
MAYDA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BEHAVIOR TECHNICIAN
Contact information
Practice address
1495 SE 25TH TER, HOMESTEAD, FL 33035-2175
(786) 352-1568
Mailing address
1495 SE 25TH TER, HOMESTEAD, FL 33035-2175
(786) 352-1568
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
01/18/2012
Last updated
03/17/2018
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