Individual
JULIA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA-OK
Contact information
Practice address
1503 ALAMEDA ST, NORMAN, OK 73071-3012
(580) 721-0318
(408) 217-4813
Mailing address
408 S COOK AVE, NORMAN, OK 73071-5220
(580) 721-0318
(408) 217-4813
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-14549
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-13-14549
LBA
OK
05
—
200849880A
—
OK
Enumeration date
07/03/2014
Last updated
11/01/2022
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