Individual
MR. CALEB MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4033 PASEO VISTA PL NE, RIO RANCHO, NM 87124-4528
(505) 720-4061
Mailing address
4033 PASEO VISTA PL NE, RIO RANCHO, NM 87124-4528
(505) 720-4061
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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