Provider Demographics
NPI:1962060533
Name:MARTINEZ ZITO, ZOE ESTER
Entity type:Individual
Prefix:
First Name:ZOE ESTER
Middle Name:
Last Name:MARTINEZ ZITO
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 1:10932 SW 3RD ST APT C5
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-1237
Mailing Address - Country:US
Mailing Address - Phone:786-792-2373
Mailing Address - Fax:
Practice Address - Street 1:25 NW 5TH TER
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33993-2349
Practice Address - Country:US
Practice Address - Phone:786-792-2373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-30
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RBT-18-53724106S00000X
106S00000X
FL1-21-54327103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician