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NPI Code Detail

MEDICARE: JENIFER MARTINEZ SEGURA

MEDICARE: JENIFER MARTINEZ SEGURA
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
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1518846393
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENIFER MARTINEZ SEGURA
Provider Business Mailing Address
First Line : 940 AVENUE 64
Second Line :
City : PASADENA
State : CA
Zip : 91105-2711
Country : US
Telephone Number : 323-254-2274
Fax Number :
Provider Business Practice Location Address
First Line : 5400 E OLYMPIC BLVD FL 1
Second Line :
City : COMMERCE
State : CA
Zip : 90022-5147
Country : US
Telephone Number : 323-869-9255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2025
Last Update Date : 06/01/2026

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Directions to “ JENIFER MARTINEZ SEGURA ” Practice Location

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