Provider Demographics
NPI:1427876671
Name:MARTINEZ ARZOLA, ANNAIS
Entity type:Individual
Prefix:
First Name:ANNAIS
Middle Name:
Last Name:MARTINEZ ARZOLA
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 1:820 GERALD AVE
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33936-0964
Mailing Address - Country:US
Mailing Address - Phone:561-489-9313
Mailing Address - Fax:
Practice Address - Street 1:820 GERALD AVE
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33936-0964
Practice Address - Country:US
Practice Address - Phone:561-489-9313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-27
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician