Individual
SYLVIA IRENE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 WOODTHRUSH RD, SUMMERVILLE, SC 29485-5432
(206) 518-8705
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
SC
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
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