Individual
LISANDRA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6005 VAN BUREN PL, WEST NEW YORK, NJ 07093-1402
(908) 374-4189
Mailing address
9010 2ND AVE, NORTH BERGEN, NJ 07047-5211
(201) 622-3831
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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