Organization
MARTIN'S ACADEMY FOR THE ENERGIZED AND TALENTED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TABITHA L MARTIN (OWNER)
(832) 659-2419
Entity
Organization
Contact information
Practice address
4138 ALLISON RD, HOUSTON, TX 77048-4603
(832) 659-2419
Mailing address
4138 ALLISON RD, HOUSTON, TX 77048-4603
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
222Q00000X
Developmental Therapist
Primary
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225A00000X
Music Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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