| NPI | 1861160319 |
|---|---|
| Former Name | CRYSTAL MARTINEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 8893) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-21-179969) |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2025-08-14 |