Martin, Leilani Urquieta

Martin, Leilani Urquieta is an sole proprietor health care provider with primary practice located at 5112 Nw Taylor Rd , Bremerton WA 98312-8837. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Martin, Leilani Urquieta can be contacted via phone (360) 373-2536.

Contact Information

Primary practice address
5112 Nw Taylor Rd Bremerton WA 98312-8837
Fax: (360) 373-4934
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X SP60267407 Washington
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X CG60354043 Washington

Profile Details

NPI number 1952747057
LBN Legal business name Martin, Leilani Urquieta
Credentials BS
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2013
Last updated May 15th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952747057 NPPES
Washington MEDICAID 1020898

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