Provider Demographics
NPI:1760375281
Name:MARTINEZ, AHLEXA
Entity type:Individual
Prefix:
First Name:AHLEXA
Middle Name:
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 1:7810 PASEO 550 DR NE APT C308
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87144-7891
Mailing Address - Country:US
Mailing Address - Phone:415-319-4559
Mailing Address - Fax:
Practice Address - Street 1:7810 PASEO 550 DR NE APT C308
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87144-7891
Practice Address - Country:US
Practice Address - Phone:415-319-4559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician