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NPI Code Detail

MEDICARE: STEPHANIE NICHOLE MARTINEZ BCBA, LBA

MEDICARE: STEPHANIE NICHOLE MARTINEZ BCBA, LBA
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
1103K00000XBehavior Analyst9268TX

General Provider Information

NPI Number : 1467321810
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE NICHOLE MARTINEZ BCBA, LBA
Provider Business Mailing Address
First Line : 166 ARCHSTONE LOOP
Second Line :
City : BELTON
State : TX
Zip : 76513-8289
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3820 W ADAMS AVE
Second Line :
City : TEMPLE
State : TX
Zip : 76504-3539
Country : US
Telephone Number : 254-231-8849
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2025
Last Update Date : 04/07/2026

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