Individual
HEATHER MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
227 ROGERS AVE, WEST SPRINGFIELD, MA 01089-1921
(413) 250-9512
Mailing address
227 ROGERS AVE, WEST SPRINGFIELD, MA 01089-1921
(413) 250-9512
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5724
MA
Other
Enumeration date
08/17/2017
Last updated
07/21/2022
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