Individual
COURTNEY K MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
2295 RENAISSANCE DR STE D, LAS VEGAS, NV 89119-6758
(702) 763-5379
Mailing address
2295 RENAISSANCE DR STE D, LAS VEGAS, NV 89119-6758
(702) 763-5379
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-0102-918547
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25-0102-918547
—
NV
Enumeration date
06/05/2025
Last updated
06/05/2025
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