Individual
ALEXIS MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 E 11TH ST UNIT 5, DOUGLAS, AZ 85607-2014
(404) 400-5004
Mailing address
530 E 11TH ST UNIT 5, DOUGLAS, AZ 85607-2014
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH001489
AZ
Other
Enumeration date
07/11/2025
Last updated
07/22/2026
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