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NPI Code Detail

MEDICARE: J'LYN ALEXIS MARTINEZ

MEDICARE: J'LYN ALEXIS 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
1106S00000XBehavior TechnicianRBT-20-121616

General Provider Information

NPI Number : 1417579996
Entity Type Code : Individual
Provider Name (Legal Business Name) : J'LYN ALEXIS MARTINEZ
Provider Business Mailing Address
First Line : 13931 SIERRA STAR CT
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80921-2976
Country : US
Telephone Number : 719-283-1406
Fax Number : 719-249-5834
Provider Business Practice Location Address
First Line : 13931 SIERRA STAR CT
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80921-2976
Country : US
Telephone Number : 719-283-1406
Fax Number : 719-249-5834
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2020
Last Update Date : 07/14/2025

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Directions to “ J'LYN ALEXIS MARTINEZ ” Practice Location

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