Individual
GABRIELLA ALYSHA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3311 CANDELARIA RD NE, ALBUQUERQUE, NM 87107-1959
(505) 225-1100
Mailing address
957 CASCADE RD SE, RIO RANCHO, NM 87124-4351
(505) 264-1539
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-53594
NM
247200000X
Other Technician
—
—
Other
Enumeration date
11/27/2016
Last updated
02/01/2022
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