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NPI Code Detail

MEDICARE: GLENDA MARICHAL MARTIN RBT

MEDICARE: GLENDA MARICHAL MARTIN 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 TechnicianRBT-26-544297TX

General Provider Information

NPI Number : 1790610178
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLENDA MARICHAL MARTIN RBT
Provider Business Mailing Address
First Line : 811 NORTHWOOD DR APT 5005
Second Line :
City : BAYTOWN
State : TX
Zip : 77521-3915
Country : US
Telephone Number : 656-217-9008
Fax Number :
Provider Business Practice Location Address
First Line : 8451 MANTA RAY CIR
Second Line :
City : CYPRESS
State : TX
Zip : 77433-3228
Country : US
Telephone Number : 656-217-9008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2026
Last Update Date : 06/16/2026

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Directions to “ GLENDA MARICHAL MARTIN RBT” Practice Location

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