Individual
MARTHA K BRENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2044 N RECKER RD, MESA, AZ 85215-2744
(623) 745-0788
Mailing address
3409 S RURAL RD APT 208, TEMPE, AZ 85282-5429
(480) 550-1255
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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