Individual
KRISTIN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 PROFESSIONAL PKWY STE 220, WOODSTOCK, GA 30188-6444
(860) 857-7790
Mailing address
603 SOMERSET CT, HOLLY SPRINGS, GA 30115-9381
(860) 857-7790
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
08/05/2014
Last updated
06/05/2022
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