Ethan Eddie Martinez

NPI #1518623503 in Raymond, Washington

Provider Information

NPI Number: 1518623503
Entity Type: Individual
Name: Ethan Eddie Martinez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Assistant Behavior Analyst
Enumeration Date: Nov 13, 2021
Last Updated: Nov 13, 2021

Practice Location

Address: 320 6TH ST
City: Raymond
State: Washington
ZIP Code: 98577-2503
Phone: (111) 111-1111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assistant Behavior Analyst	106E00000X	Primary
Behavior Analyst	103K00000X
Behavior Technician	106S00000X

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