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Individual

MISS EBONY P MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
7390 W SAHARA AVE UNIT 250-280, LAS VEGAS, NV 89117-2763
(702) 900-4320
Mailing address
4801 E SAHARA AVE APT 19, LAS VEGAS, NV 89104-6318
(907) 723-2749

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-249281
NV

Other

Enumeration date
01/17/2023
Last updated
01/17/2023
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