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Individual

DAVID G MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.ED., BCBA

Contact information

Practice address
279 CLEAR SKY CT, SUITE C, CLARKSVILLE, TN 37043-5946
(615) 613-1869
(931) 919-2191
Mailing address
1853 MADISON ST, UNIT 8, CLARKSVILLE, TN 37043-5299
(615) 613-1869
(931) 919-2191

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-9787
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-14-9787
BACB CERTIFICATION NUMBER
Enumeration date
10/21/2014
Last updated
10/21/2014
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