Individual
AMANDA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2928 JEFFERSON ST STE 100, CARLSBAD, CA 92008-2374
(855) 223-7123
(619) 374-7134
Mailing address
16782 VON KARMAN AVE STE 11, IRVINE, CA 92606-2417
(855) 223-7123
(619) 374-7134
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-34034
CA
106S00000X
Behavior Technician
—
CA
Other
Enumeration date
03/03/2018
Last updated
03/13/2020
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