Individual
MISS DESTINEY MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4001 OFFICE COURT DR STE 706, SANTA FE, NM 87507-4958
(505) 395-9611
Mailing address
4001 OFFICE COURT DR STE 706, SANTA FE, NM 87507-4958
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/21/2021
Last updated
11/09/2021
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