Individual
MEGAN MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9115 SW OLESON RD, 100, PORTLAND, OR 97223-6875
(562) 204-8655
Mailing address
1025 ATLANTIC AVE STE 100, ALAMEDA, CA 94501-1187
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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