Bardomeano Martinez, BSW

NPI #1043977085 in Nampa, Idaho

Provider Information

NPI Number: 1043977085
Entity Type: Individual
Name: Bardomeano Martinez, BSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: BSW
Enumeration Date: Nov 24, 2021
Last Updated: Nov 24, 2021

Practice Location

Address: 220 W GEORGIA AVE
City: Nampa
State: Idaho
ZIP Code: 83686-2835
Phone: (208) 417-7823

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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