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General NPI Number Information
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NPI Number | 1336412915
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Entity Type | Individual
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Provider Name | FERNANDO W MARTINEZ II MA, BCBA, LBA
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Gender | Male
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Dates
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Enumeration Date | 02/13/2012
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 10133 N 92ND ST STE 101
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4556
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Country | US
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Telephone | 602-663-9502
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Fax | 425-491-7683
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Provider Business Mailing Address
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Address Line | 7500 SAN FELIPE ST STE 900
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City | HOUSTON
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State | TX
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Zip | 77063-1798
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Country | US
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Telephone | 602-663-9502
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Fax | 425-491-7683
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 3435
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-18-32500
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State | AZ
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