Individual
DAVON MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8020 W SAHARA AVE, LAS VEGAS, NV 89117-7939
(702) 470-0620
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NV
Other
Enumeration date
11/16/2021
Last updated
06/10/2022
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