Nirdes Pura Macias Martinez

NPI #1073367397 in Lehigh Acres, Florida

Provider Information

NPI Number: 1073367397
Entity Type: Individual
Name: Nirdes Pura Macias Martinez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Apr 15, 2024
Last Updated: Apr 16, 2024

Practice Location

Address: 2609 33RD ST SW
City: Lehigh Acres
State: Florida
ZIP Code: 33976-4548
Phone: (239) 374-0206

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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