Martinez, Ethan Eddie

Martinez, Ethan Eddie is an individual health care provider with primary practice located at 320 6Th St , Raymond WA 98577-2503. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is his primary health care specialty. Martinez, Ethan Eddie can be contacted via phone (111) 111-1111.

Contact Information

Primary practice address
320 6Th St Raymond WA 98577-2503
Phone: (111) 111-1111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1518623503
LBN Legal business name Martinez, Ethan Eddie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2021
Last updated Nov 13th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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