Individual
DENISE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
52 HIBERNIA RD, SALT POINT, NY 12578-2104
(845) 723-4616
Mailing address
6 PINE TREE LN, PLEASANT VALLEY, NY 12569-6926
(845) 625-8057
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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