Individual
ANDRISELL MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15631 NW 52ND AVE APT 201, MIAMI GARDENS, FL 33014
(786) 315-0156
Mailing address
15631 NW 52ND AVE APT 201, MIAMI GARDENS, FL 33014-6239
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/16/2017
Last updated
07/21/2022
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