Provider Demographics
NPI:1982391769
Name:MARTINEZ, ADRIANNA N
Entity Type:Individual
Prefix:
First Name:ADRIANNA
Middle Name:N
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 1:720 MARIPOSA AVE
Mailing Address - Street 2:
Mailing Address - City:TULARE
Mailing Address - State:CA
Mailing Address - Zip Code:93274-5627
Mailing Address - Country:US
Mailing Address - Phone:559-991-2012
Mailing Address - Fax:
Practice Address - Street 1:160 N L ST
Practice Address - Street 2:
Practice Address - City:TULARE
Practice Address - State:CA
Practice Address - Zip Code:93274-4114
Practice Address - Country:US
Practice Address - Phone:559-837-1223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-20
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician