Healthcare Provider Details

I. General information

NPI: 1427563444
Provider Name (Legal Business Name): ODEL MARTINEZ ROBAINA BCBA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2017
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

376 W CORAL TRACE CIR
DELRAY BEACH FL
33445-3602
US

IV. Provider business mailing address

376 W CORAL TRACE CIR
DELRAY BEACH FL
33445-3602
US

V. Phone/Fax

Practice location:
  • Phone: 786-424-2510
  • Fax:
Mailing address:
  • Phone: 786-424-2510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: