Individual
TAMEIKA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1320 MAIN ST STE 300, COLUMBIA, SC 29201-3266
(855) 832-6727
Mailing address
460 PIN OAK DR, LEXINGTON, SC 29073-7916
(803) 714-3446
(803) 824-6189
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-58767
SC
106S00000X
Behavior Technician
RBT-18-69845
—
Other
Enumeration date
05/30/2019
Last updated
04/04/2023
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