Abigail Martinez

Individual provider Active NPI Behavior Technician · New Market, MD

NPI 1033825898 · NPPES record last updated Feb 28, 2023

Key facts

NPI
1033825898
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
7145 Bodkin Way
New Market, MD 21774-6963
Phone
(253) 254-8843
NPI assigned
Jan 25, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

7145 Bodkin Way
New Market, MD 21774-6963

Mailing address

7108 S Kanner Hwy
Stuart, FL 34997-7462

Other identifiers

IdentifierTypeStateIssuer
MHC131078651001OtherWABLUE SHIELD

Other providers in New Market, MD

All providers in New Market, MD · Behavior Technician in Maryland

Sources for this page

Verify at the official NPI Registry.