Most Relevant Information
Provider Data
| NPI Number: | 1003547852 |
| Provider Name: | AJA NAELENE MARTINEZ NONE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/22/2022 |
| Last Updated: | 06/24/2022 |
Provider Practice Location
126 W OLIVE AVE
MONROVIA
CA
910163410
Practice Location Phone/Fax
| Phone: | 6262393060 |
| Fax: | 8555682494 |
Provider Mailing Location
126 W OLIVE AVE
MONROVIA
CA
910163410
Provider Mailing Phone/Fax
| Phone: | 6262393060 |
| Fax: | 8555682494 |