Organization
STACY MARTIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY MARTIN BCBA, COBA (OWNER)
(919) 771-3930
Entity
Organization
Contact information
Practice address
882 EASTCHESTER DR, GAHANNA, OH 43230-5137
(919) 771-3930
Mailing address
882 EASTCHESTER DR, GAHANNA, OH 43230-5137
(919) 771-3930
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/02/2016
Last updated
03/07/2018
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