Individual
AMANDA MAE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 860-2982
Mailing address
7110 MICHIGAN RD, BAY CITY, MI 48706-9310
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
374700000X
Technician
—
MI
Other
Enumeration date
06/30/2021
Last updated
04/13/2023
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