Martinez, Ebony Vanessa
Martinez, Ebony Vanessa is an individual health care provider with primary practice located at 24451 Lakeshore Blvd Apt 1216 Unit 2, Euclid OH 44123-4412. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Martinez, Ebony Vanessa can be contacted via phone (216) 290-8257.Contact Information
Primary practice address
24451 Lakeshore Blvd Apt 1216 Unit 2
Euclid OH 44123-4412
Phone: (216) 290-8257
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1861108540 |
|---|---|
| LBN Legal business name | Martinez, Ebony Vanessa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2023 |
| Last updated | Jan 26th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861108540 | NPPES |
| Ohio | MEDICAID | 910000570569 |
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