Individual
LAUREN MICHELLE MARTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
73 WHITE BRIDGE RD STE 103-232, NASHVILLE, TN 37205
(615) 916-0664
Mailing address
73 WHITE BRIDGE RD STE 103-232, NASHVILLE, TN 37205-1444
(615) 916-0664
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-28677
PA
Other
Enumeration date
12/28/2017
Last updated
11/08/2019
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