Individual
MR. DANIEL KEITH MARTIN X
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BACHLORS OF SCIENCE
Contact information
Practice address
11912 AMISTOSO LN, LAS VEGAS, NV 89138-4532
(702) 716-4301
Mailing address
11912 AMISTOSO LN, LAS VEGAS, NV 89138-4532
(702) 716-4301
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ABCMARTIN2
—
NV
Enumeration date
02/03/2011
Last updated
02/03/2011
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