Individual
MICHAELA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
428 W 15TH ST STE 1, EDMOND, OK 73013-3690
(844) 743-6506
Mailing address
8300 JEFFERSON ST NE STE B, ALBUQUERQUE, NM 87113-1734
(844) 743-6506
(531) 777-7579
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
RBT-19-92609
OK
Other
Enumeration date
01/06/2020
Last updated
11/01/2022
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