Individual
MRS. MEGAN A MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA, LBA
Contact information
Practice address
23713 BISON STREET, MERCER, MO 64661
(660) 748-5590
Mailing address
23713 BISON STREET, MERCER, MO 64661
(660) 748-5590
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-43265
MO
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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