Individual
DANIELLE MIA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1011 HIGH RIDGE RD STE 300, STAMFORD, CT 06905-1610
(845) 803-2840
Mailing address
1011 HIGH RIDGE RD STE 300, STAMFORD, CT 06905-1610
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1321
CT
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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