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General NPI Number Information
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NPI Number | 1093243016
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Entity Type | Individual
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Provider Name | HEIDY C MARTINEZ
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Gender | Female
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Dates
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Enumeration Date | 06/03/2017
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 8743 SW 9TH TER STE 4
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City | MIAMI
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State | FL
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Zip | 33174-3235
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Country | US
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Telephone | 786-360-2869
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Fax | 786-409-2247
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Provider Business Mailing Address
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Address Line | 5601 COLLINS AVE APT 510
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2407
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Country | US
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Telephone | 305-790-1906
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-20-117938
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License Number State | FL
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