Marissa Danielle Martinez, is a
Behavior Technician based in San Bruno, California. Marissa Danielle Martinez is licensed to practice in * (Not Available) (license number ) and her current practice location is
1001 Sneath Ln Ste 200, San Bruno, California. She can be reached at her office (for appointments etc.) via phone at
(916) 382-4447.
NPI number for Marissa Danielle Martinez is 1588159206 and her current mailing address is 78 Centennial Loop Ste A, Eugene, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588159206.
Healthcare Provider's Profile
| Full Name | Marissa Danielle Martinez |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 1001 Sneath Ln Ste 200, San Bruno, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1588159206
- Provider Enumeration Date: 06/25/2018
- Last Update Date: 09/03/2019
Medical Identifiers
Medical identifiers for Marissa Danielle Martinez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588159206 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marissa Danielle Martinez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Marissa Danielle Martinez,
78 Centennial Loop Ste A,
Eugene, OR 97401-7900
Ph: () - | Marissa Danielle Martinez,
1001 Sneath Ln Ste 200,
San Bruno, CA 94066-2349
Ph: (916) 382-4447 |
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