Most Relevant Information
Provider Data
| NPI Number: | 1003570409 |
| Provider Name: | HANNAH MARTYNOWICZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | ABA-IN-10217449 |
Most Important Dates
| Enumeration Date: | 10/22/2021 |
| Last Updated: | 10/22/2021 |
Provider Practice Location
19800 VILLAGE OFFICE CT STE 104
BEND
OR
977021813
Practice Location Phone/Fax
| Phone: | 5413063483 |
| Fax: | 5416398909 |
Provider Mailing Location
19800 VILLAGE OFFICE CT STE 104
BEND
OR
977021813
Provider Mailing Phone/Fax
| Phone: | 5413063483 |
| Fax: | 5416398909 |