Individual
KENECHI MARTINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LBS
Contact information
Practice address
1107 SNYDER AVE APT 2, PHILADELPHIA, PA 19148-5521
(302) 747-4776
Mailing address
1107 SNYDER AVE APT 2, PHILADELPHIA, PA 19148-5521
(302) 747-4776
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
BH007795
PA
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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