Individual
ALYSON MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1855 NE LOTUS DR APT 108, BEND, OR 97701-6182
(860) 819-1470
Mailing address
1855 NE LOTUS DR APT 108, BEND, OR 97701-6182
(860) 819-1470
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
10245741
OR
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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