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Individual

AMARANTHA MARTINEZ SALAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2068 BOLTON RD NW, ATLANTA, GA 30318-1106
(402) 708-2124
Mailing address
2068 BOLTON RD NW, ATLANTA, GA 30318-1106
(402) 708-2124

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB767343
GA

Other

Enumeration date
05/06/2026
Last updated
05/06/2026
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