Provider Demographics
NPI:1437412665
Name:MARTINEZ, GUILLERMINA D (TEACHER)
Entity Type:Individual
Prefix:MRS
First Name:GUILLERMINA
Middle Name:D
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:TEACHER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 REMSEN RD
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-1428
Mailing Address - Country:US
Mailing Address - Phone:646-240-8393
Mailing Address - Fax:
Practice Address - Street 1:195 REMSEN RD
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-1428
Practice Address - Country:US
Practice Address - Phone:646-240-8393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY532128103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst