Nicole Laine Martinez

NPI #1235756610 in Boise, Idaho

Provider Information

NPI Number: 1235756610
Entity Type: Individual
Name: Nicole Laine Martinez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 1, 2020
Last Updated: Jul 1, 2020

Practice Location

Address: 12553 W EXPLORER DR STE 190
City: Boise
State: Idaho
ZIP Code: 83713-1612
Phone: (208) 972-5254

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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