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NPI Code Detail

MEDICARE: KAITLYN MARTINEZ

MEDICARE: KAITLYN 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
1106S00000XBehavior TechnicianRBT-22-240674FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750099164
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLYN MARTINEZ
Provider Business Mailing Address
First Line : 3307 COMPOSITION ST
Second Line :
City : KISSIMMEE
State : FL
Zip : 34758-3936
Country : US
Telephone Number : 706-957-2153
Fax Number :
Provider Business Practice Location Address
First Line : 4727 W IRLO BRONSON MEMORIAL HWY
Second Line :
City : KISSIMMEE
State : FL
Zip : 34746-5326
Country : US
Telephone Number : 407-978-6085
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2022
Last Update Date : 06/18/2026

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Directions to “ KAITLYN MARTINEZ ” Practice Location

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