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Individual
MARTHA LYNN ANDERSON
Active
Individual
MARTHA LYNN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
7402000113
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/23/2019
Last updated
10/10/2024
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