Individual
KACIE MARTINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 VIRGINIA RD STE 204, CONCORD, MA 01742-2769
(978) 413-0183
Mailing address
555 VIRGINIA RD STE 204, CONCORD, MA 01742-2769
(978) 413-0183
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LABA10001539
MA
106S00000X
Behavior Technician
—
MA
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
12/20/2021
Last updated
04/29/2025
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