Individual
ROGER LEE MARTIN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1814 W OWEN K GARRIOTT RD, ENID, OK 73703-5525
(405) 823-8226
Mailing address
1814 W OWEN K GARRIOTT RD, ENID, OK 73703-5525
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
OK
106S00000X
Behavior Technician
Primary
—
OK
Other
Enumeration date
11/17/2020
Last updated
11/23/2020
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