Most Relevant Information
Provider Data
| NPI Number: | 1003540279 |
| Provider Name: | MELISSA DEANNA MARTINEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/13/2022 |
| Last Updated: | 07/13/2022 |
Provider Practice Location
2753 PINEWOOD AVE
HENDERSON
NV
890741253
Practice Location Phone/Fax
| Phone: | 3238023243 |
| Fax: |
Provider Mailing Location
2753 PINEWOOD AVE
HENDERSON
NV
890741253
Provider Mailing Phone/Fax
| Phone: | 3238023243 |
| Fax: |