MEDICARE: CARMEN MARTINEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1407393002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARMEN MARTINEZ

Provider Business Mailing Address
First Line	:	4441 CAMPUS CIR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-5344
Country	:	US
Telephone Number	:	702-807-2202
Fax Number	:

Provider Business Practice Location Address
First Line	:	4441 CAMPUS CIR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-5344
Country	:	US
Telephone Number	:	702-807-2202
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2017
Last Update Date	:	01/21/2017

Similar Medicare Providers

1114427200 — HONG CHEN
Practice Location Address:

6696 CORONADO PALMS AVE
LAS VEGAS, NV
89139-5344

Practice Phone: 702-339-7182
Practice Fax:

1770349086 — DAILIN GARCIA MARTIN
Practice Location Address:

5344 HARMONY AVE
LAS VEGAS, NV
89107-0310

Practice Phone: 725-270-2570
Practice Fax:

1548862600 — ANTHONY LOPEZ
Practice Location Address:

5344 GENESIS LN TRLR B
LAS CRUCES, NM
88012-7912

Practice Phone: 575-993-4290
Practice Fax:

1952760597 — MARISSA LEININGER
Practice Location Address:

4525 S SANDHILL RD , STE 103
LAS VEGAS, NV
89121-5954

Practice Phone: 702-741-1938
Practice Fax:

1316808306 — MIND AND MEDICAL LLC
Practice Location Address:

3430 E FLAMINGO RD STE 215
LAS VEGAS, NV
89121-5064

Practice Phone: 702-682-6778
Practice Fax:

1275388092 — SHIELDS FOUNDATION LLC
Practice Location Address:

3675 PECOS MCLEOD # 100
LAS VEGAS, NV
89121-3811

Practice Phone: 720-746-9254
Practice Fax:

Directions to “ CARMEN MARTINEZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.