Individual
ASHLEY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
418 W MOUNTAIN ST, KERNERSVILLE, NC 27284-2534
(704) 780-4271
Mailing address
PO BOX 8544, PASADENA, CA 91109-8602
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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