Individual
FABIOLA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 N ADDISON AVE, ELMHURST, IL 60126-2809
(866) 673-5278
Mailing address
1721 N 39TH AVE, STONE PARK, IL 60165-1107
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-539806
IL
Other
Enumeration date
05/28/2026
Last updated
05/28/2026
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