Individual
CARA NOEL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12051 N 96TH ST, SCOTTSDALE, AZ 85260-5913
(620) 755-7649
Mailing address
12051 N 96TH ST, SCOTTSDALE, AZ 85260-5913
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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