Organization Name: | A(PLUS) EDUCATIONAL DIAGNOSTICS |
NPI Number: | 1215332325 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALYSSA R MARTINEZ (OWNER) |
Mailing Address: | 11 Geronimo Lane Arroyo Seco |
State: | NM US |
Postal Code: | 87514 |
Phone Number: | 5757791736 |
Fax Number: | |
NPI Enumeration Date: | 10/31/2014 |
NPI Last Update Date: | 10/31/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | 251283 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |