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General NPI Number Information
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NPI Number | 1831702646
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Entity Type | Individual
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Provider Name | ALEXANDER MARTINEZ
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Gender | Male
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Dates
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Enumeration Date | 08/31/2020
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 2401 E KATELLA AVE STE 440
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City | ANAHEIM
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State | CA
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Zip | 92806-5982
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Country | US
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Telephone | 888-725-7087
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Fax |
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Provider Business Mailing Address
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Address Line | 76000 VERANO RD
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City | IRVINE
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State | CA
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Zip | 92617-4518
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Country | US
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Telephone | 949-833-2237
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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 |
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License Number State |
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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 | 1-24-77938
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License Number State | CA
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