Individual
ASHLEY RENEE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1771 E FLAMINGO RD STE 215B, LAS VEGAS, NV 89119-5154
(702) 834-9260
Mailing address
1771 E FLAMINGO RD STE 215B, LAS VEGAS, NV 89119-5154
(702) 834-9260
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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