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NPI Code Detail

MEDICARE: MS. MARIA R MARTINEZ

MEDICARE:  MS. MARIA R 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 : 1114269271
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARIA R MARTINEZ
Provider Business Mailing Address
First Line : 1121 CLAIRVILLE ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89110-2861
Country : US
Telephone Number : 702-373-2272
Fax Number :
Provider Business Practice Location Address
First Line : 1200 HELEN AVE
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89030-3721
Country : US
Telephone Number : 702-636-9229
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2013
Last Update Date : 03/26/2013

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Directions to “ MS. MARIA R MARTINEZ ” Practice Location

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