Individual
JUSTIN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4596 SE PARSONS GREEN CT, PORT ORCHARD, WA 98367-9077
(360) 979-9725
Mailing address
4596 SE PARSONS GREEN CT, PORT ORCHARD, WA 98367-9077
(360) 979-9725
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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