Individual
KEAYNA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19115 MURDOCK AVE, SAINT ALBANS, NY 11412-2429
(347) 484-1669
Mailing address
19115 MURDOCK AVE, SAINT ALBANS, NY 11412-2429
(347) 484-1669
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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