Individual
MS. AYANA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3330 CHASTAIN MEADOWS PKWY NW STE 200, KENNESAW, GA 30144-5881
(678) 648-7644
Mailing address
6505 SHILOH RD STE 100, ALPHARETTA, GA 30005-1645
(678) 648-7644
(888) 413-4567
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-70241
GA
106S00000X
Behavior Technician
RBT-17-30666
GA
Other
Enumeration date
12/27/2017
Last updated
12/19/2023
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