Individual
JAZMIN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6653 S WASHTENAW AVE, CHICAGO, IL 60629-1717
(773) 960-6631
Mailing address
6653 S WASHTENAW AVE, CHICAGO, IL 60629-1717
(773) 960-6631
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
M63542099643
IL
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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