Individual
MR. DUSTIN MARTIN ISRAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA, LBA
Contact information
Practice address
1138 2ND ST SW, ROANOKE, VA 24016-4725
(540) 312-3133
Mailing address
1138 2ND ST SW, ROANOKE, VA 24016-4725
(540) 312-3133
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001160
VA
Other
Enumeration date
07/06/2018
Last updated
05/15/2023
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