Most Relevant Information
Provider Data
| NPI Number: | 1003372798 |
| Provider Name: | ANGELA MARTINEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/18/2019 |
| Last Updated: | 07/01/2019 |
Provider Practice Location
28 CAMINO MANZANA
PERALTA
NM
870428817
Practice Location Phone/Fax
| Phone: | 5055039588 |
| Fax: |
Provider Mailing Location
27777 INKSTER RD
FARMINGTON HILLS
MI
483345326
Provider Mailing Phone/Fax
| Phone: | 2484364482 |
| Fax: |