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Dominique Nicia Martinez

NPI Registration Record

Provider / OrganizationNPIDate Certified
DOMINIQUE NICIA MARTINEZ12054074182021-07-12

Dominique Nicia Martinez is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1205407418. Registration indicates Dominique Nicia Martinez is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )

Entity TypeIndividual
Provider Name Dominique Nicia Martinez
Practice Office Address1811 GRAND CANAL BLVD STE 2
STOCKTON, CA US
Practice Office Telephone2097828445
Mailing Address500 FAIRWAY DR STE 102
DEERFIELD BEACH, FL 334411817 US
Business Telephone8774182978
Business Fax8665002186
HPT Codes
CodePractice
License No
State
106S00000X PRIMARY
Behavioral Health & Social Service Providers
Behavior Technician
Behavior Technician
Behavioral Health & Social Service Providers
Behavior Technician
CA
OPI Codes

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