Individual
MARIAH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1685 BALDWIN AVE, PONTIAC, MI 48340-1242
(248) 475-6300
Mailing address
2151 AURELIA RD, WEST BLOOMFIELD, MI 48324-1509
(269) 910-2556
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/25/2024
Last updated
11/06/2024
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