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NPI Code Detail

MEDICARE: ANGELYN MARTINEZ

MEDICARE:   ANGELYN  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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1861102618
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELYN MARTINEZ
Provider Business Mailing Address
First Line : 17326 NW 63RD PL
Second Line :
City : HIALEAH
State : FL
Zip : 33015-4468
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3520 OAKS WAY APT 904
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33069-5387
Country : US
Telephone Number : 305-807-1909
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2022
Last Update Date : 12/02/2022

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Directions to “ ANGELYN MARTINEZ ” Practice Location

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