Most Relevant Information
Provider Data
| NPI Number: | 1003666181 |
| Provider Name: | JENIFER MARTINEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/25/2024 |
| Last Updated: | 04/01/2024 |
Provider Practice Location
565 LAKEVIEW PKWY STE 150
VERNON HILLS
IL
600611839
Practice Location Phone/Fax
| Phone: | 8774864140 |
| Fax: |
Provider Mailing Location
630 E HIGH ST
MUNDELEIN
IL
600602920
Provider Mailing Phone/Fax
| Phone: | 2248297062 |
| Fax: |