Individual
EMILY ANN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, BCBA, LBA
Contact information
Practice address
107 E MAIN ST UNIT C, PURCELLVILLE, VA 20132-5832
(571) 545-0091
Mailing address
1019B EDWARDS FERRY RD NE # 1085, LEESBURG, VA 20176-3347
(571) 545-0091
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001183
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0133001183
—
VA
Enumeration date
01/05/2023
Last updated
01/05/2023
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