Provider Demographics
NPI:1891406443
Name:MARTINEZ, BARBARA DE LA CARIDAD
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:DE LA CARIDAD
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1113 HILLTOP DR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-3304
Mailing Address - Country:US
Mailing Address - Phone:786-781-7511
Mailing Address - Fax:
Practice Address - Street 1:1113 HILLTOP DR
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-3304
Practice Address - Country:US
Practice Address - Phone:786-781-7511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-05
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-22-246409106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician