Individual
CARMEN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
311 LENNON LN, SUITE A, WALNUT CREEK, CA 94598-2418
(925) 210-9370
(925) 210-0436
Mailing address
311 LENNON LN, SUITE A, WALNUT CREEK, CA 94598-2418
(925) 210-9370
(925) 210-0436
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-9348
CA
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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