Individual
MRS. CARINA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
10604 N TRADEMARK PKWY STE 310, RANCHO CUCAMONGA, CA 91730-5938
(714) 785-0681
Mailing address
10604 N TRADEMARK PKWY STE 310, RANCHO CUCAMONGA, CA 91730-5938
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11518893
CA
Other
Enumeration date
11/14/2016
Last updated
08/21/2017
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