Individual
MRS. MARTHA KRISTIN LOUKOTKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
3602 GUYTON RIDGE DR, HOOVER, AL 35244-4345
(205) 266-4460
Mailing address
3602 GUYTON RIDGE DR, HOOVER, AL 35244-4345
(205) 266-4460
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1031349
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1031349
BCBA
AL
Enumeration date
10/03/2012
Last updated
10/03/2012
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