Individual
ALYSSA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 FRANKLIN GTWY SE, MARIETTA, GA 30067-7749
(470) 588-8484
(855) 915-0244
Mailing address
2500 DALLAS HWY SW STE 202, MARIETTA, GA 30064-7505
(470) 588-8484
(855) 915-0244
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-359014
GA
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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