Provider Demographics
NPI:1356994578
Name:MARTINS, CECILIA
Entity type:Individual
Prefix:
First Name:CECILIA
Middle Name:
Last Name:MARTINS
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 1:435 CILLEY RD APT B
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-4554
Mailing Address - Country:US
Mailing Address - Phone:603-275-3006
Mailing Address - Fax:
Practice Address - Street 1:435 CILLEY RD APT B
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-4554
Practice Address - Country:US
Practice Address - Phone:603-275-3006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-17
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician