Individual
ADDEY MARTINEZ MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20517 SW 2ND ST, PEMBROKE PINES, FL 33029-5026
(786) 660-6369
Mailing address
20517 SW 2ND ST, PEMBROKE PINES, FL 33029-5026
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23309075
FL
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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