Individual
ZACHARY WILLIAM MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7661 W RIVERSIDE DR, BOISE, ID 83714-6186
(208) 912-6986
Mailing address
4510 ENCHANTED DR, MOUND, MN 55364-9300
(952) 686-4108
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/07/2021
Last updated
12/23/2022
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