Individual
CHANNING MAKENZIE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2310 130TH AVE NE STE 100, BELLEVUE, WA 98005-1757
(425) 882-8868
(425) 633-2282
Mailing address
2310 130TH AVE NE STE 100, BELLEVUE, WA 98005-1757
(425) 882-8868
(425) 633-2282
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
CB70003238
WA
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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