Individual
DARYL CHEYENNE MARTIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
260 PEACHTREE ST NW, SUITE 2200, ATLANTA, GA 30303-1202
(843) 217-3055
Mailing address
750 FRANKLIN GATEWAYSE, 14-H, MARIETTA, GA 30067
(843) 217-3055
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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