MEDICARE: LIGIA MARTINEZ BCBA

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
1	103K00000X	Behavior Analyst
2	103K00000X	Behavior Analyst	1-19-34635	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376974238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIGIA MARTINEZ BCBA

Provider Business Mailing Address
First Line	:	15583 SW 151ST ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33196-6205
Country	:	US
Telephone Number	:	305-457-0774
Fax Number	:

Provider Business Practice Location Address
First Line	:	850 NW FEDERAL HWY STE 173
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34994-1019
Country	:	US
Telephone Number	:	772-362-9878
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/03/2013
Last Update Date	:	05/29/2024

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Directions to “ LIGIA MARTINEZ BCBA” Practice Location

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