Lily Lupe Martin

NPI #1124638028 in Cutler Bay, Florida

Provider Information

NPI Number: 1124638028
Entity Type: Individual
Name: Lily Lupe Martin
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Aug 5, 2020
Last Updated: Aug 5, 2020

Practice Location

Address: 18531 SW 92ND PL
City: Cutler Bay
State: Florida
ZIP Code: 33157-7058
Phone: (305) 776-2695

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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