Individual
JESSICA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1212 S AIR DEPOT BLVD STE 9, MIDWEST CITY, OK 73110-4860
(405) 455-6868
(405) 562-3444
Mailing address
200 SW 40TH ST, MOORE, OK 73160-7646
(405) 308-2549
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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