Most Relevant Information
Provider Data
| NPI Number: | 1003260332 |
| Provider Name: | JESSICA ALYSE MARTINEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/22/2016 |
| Last Updated: | 04/22/2016 |
Provider Practice Location
200 N VINEYARD BLVD
SUITE 153
HONOLULU
HI
968173950
Practice Location Phone/Fax
| Phone: | 8085238188 |
| Fax: | 8085248186 |
Provider Mailing Location
200 N VINEYARD BLVD
SUITE 153
HONOLULU
HI
968173950
Provider Mailing Phone/Fax
| Phone: | 8085238188 |
| Fax: | 8085248186 |