Most Relevant Information
Provider Data
| NPI Number: | 1003501693 |
| Provider Name: | ANGELA M MARTINEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/10/2023 |
| Last Updated: | 04/10/2023 |
Provider Practice Location
11748 MAGNOLIA AVE STE B
RIVERSIDE
CA
925034955
Practice Location Phone/Fax
| Phone: | 9514406220 |
| Fax: |
Provider Mailing Location
86673 WALLACE RD
THERMAL
CA
922749469
Provider Mailing Phone/Fax
| Phone: | 7605925237 |
| Fax: |