Individual
BAILEE LYNN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1540 COUNTRY CLUB RD, SHERWOOD, AR 72120-5095
(501) 753-5459
Mailing address
1540 COUNTRY CLUB RD, SHERWOOD, AR 72120-5095
(501) 753-5459
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-58498
AR
Other
Enumeration date
04/08/2020
Last updated
12/20/2022
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