Individual
CHERYL LYNN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, BCBA
Contact information
Practice address
1209 HILL RD N, PMB 176, PICKERINGTON, OH 43147-8888
(740) 739-3693
Mailing address
1209 HILL RD N, PMB 176, PICKERINGTON, OH 43147-8888
(740) 739-3693
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-05-2286
OH
104100000X
Social Worker
150.003366
IL
104100000X
Social Worker
S.0500782
OH
Other
Enumeration date
12/21/2010
Last updated
11/01/2022
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