Provider Demographics
NPI:1326817198
Name:MARTINEZ, BROOKE N (RBT)
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:N
Last Name:MARTINEZ
Suffix:
Gender:
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4122 WILLIAMSON LN
Mailing Address - Street 2:
Mailing Address - City:PACE
Mailing Address - State:FL
Mailing Address - Zip Code:32571-2237
Mailing Address - Country:US
Mailing Address - Phone:850-723-6570
Mailing Address - Fax:850-994-8443
Practice Address - Street 1:9981 CHEMSTRAND RD
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-2702
Practice Address - Country:US
Practice Address - Phone:850-723-6570
Practice Address - Fax:850-994-8443
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-21
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician