Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1003268590 |
---|---|
Provider Name | Rita Martinez |
First Address | Deerfield Beach, FL 33441-1817 |
Second Address | Deerfield Beach, FL 33441-1817 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2016 |
Last Update Date | 22/12/2021 |