Caterine Michelle Martinez

Individual provider Active NPI Behavior Technician · Herald, CA

NPI 1144976267 · NPPES record last updated Apr 18, 2022

Key facts

NPI
1144976267
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
13510 Montfort Ave
Herald, CA 95638-9761
Phone
(916) 420-5383
NPI assigned
Feb 28, 2022
Sex
Female
Sole proprietor
No

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
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

13510 Montfort Ave
Herald, CA 95638-9761

Mailing address

9701 Dino Dr
Elk Grove, CA 95624-4025
Phone (916) 892-0013

Other identifiers

IdentifierTypeStateIssuer
96374100EMedicaidCA

Other providers in Herald, CA

All providers in Herald, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.