Most Relevant Information
Provider Data
| NPI Number: | 1003305210 |
| Provider Name: | NAIDAISY MARTINEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | BACB434617 |
Most Important Dates
| Enumeration Date: | 05/02/2018 |
| Last Updated: | 05/02/2018 |
Provider Practice Location
150 E 1ST AVE APT 1004
HIALEAH
FL
330104953
Practice Location Phone/Fax
| Phone: | 7864510110 |
| Fax: |
Provider Mailing Location
150 E 1ST AVE APT 1004
HIALEAH
FL
330104953
Provider Mailing Phone/Fax
| Phone: | 7864510110 |
| Fax: |