Individual
ALLISON RUTH MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3365 29TH ST, ASTORIA, NY 11106-3405
(585) 354-5603
Mailing address
3365 29TH ST, ASTORIA, NY 11106-3405
(585) 354-5603
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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