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NPI Code Detail

MEDICARE: KRYSTAL MARTINEZ-COLON RBT

MEDICARE: KRYSTAL MARTINEZ-COLON RBT
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1346073145
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRYSTAL MARTINEZ-COLON RBT
Provider Business Mailing Address
First Line : 220 NW 132ND ST
Second Line :
City : NORTH MIAMI
State : FL
Zip : 33168-3825
Country : US
Telephone Number : 786-385-2541
Fax Number :
Provider Business Practice Location Address
First Line : 419 W 49TH ST STE 210
Second Line :
City : HIALEAH
State : FL
Zip : 33012-3657
Country : US
Telephone Number : 954-400-3251
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2024
Last Update Date : 08/26/2024

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Directions to “ KRYSTAL MARTINEZ-COLON RBT” Practice Location

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