Individual
ANNA MAE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1814 W OWEN K GARRIOTT RD, ENID, OK 73703-5525
(405) 823-8226
Mailing address
1814 W OWEN K GARRIOTT RD, ENID, OK 73703-5525
(405) 823-8226
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1733356
OK
Other
Enumeration date
09/14/2019
Last updated
09/14/2019
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