| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KENNETH NEGUIB MARTINEZ | 1932836137 | 2022-08-07 |
Kenneth Neguib Martinez is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1932836137. Registration indicates Kenneth Neguib 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 Type | Individual |
| Provider Name | Mr. Kenneth Neguib Martinez |
| Practice Office Address | 4790 MONARCH WAY COCONUT CREEK, FL US |
| Practice Office Telephone | 9543946034 |
| Mailing Address | 4790 MONARCH WAY COCONUT CREEK, FL 330733402 US |
| Business Telephone | 9543946034 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician | BACB812224
FL |