Individual
JA'TIA SADE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13071 DUNMOOR DR, LEMONT, IL 60439-2741
(708) 792-0162
Mailing address
11560 S KEDZIE AVE, MERRIONETTE PARK, IL 60803-4517
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-319464
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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