Individual
ALEXA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 SPRUCE ST STE 102, RIVERSIDE, CA 92507-7403
(951) 357-6926
Mailing address
100 N PACIFIC COAST HWY STE 1400, EL SEGUNDO, CA 90245-5602
(888) 922-2843
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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