Most Relevant Information
Provider Data
| NPI Number: | 1003312448 |
| Provider Name: | ALEXANDER MARTINEZ NUALLES |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/04/2018 |
| Last Updated: | 04/04/2018 |
Provider Practice Location
18218 SW 154TH CT
MIAMI
FL
331876255
Practice Location Phone/Fax
| Phone: | 7864519438 |
| Fax: | 3057422190 |
Provider Mailing Location
18218 SW 154TH CT
MIAMI
FL
331876255
Provider Mailing Phone/Fax
| Phone: | 7864519438 |
| Fax: | 3057422190 |