Individual
KATHLEEN DANNIELLE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
34 N WASHINGTON ST, ARDMORE, OK 73401-7013
(580) 670-3117
Mailing address
687 PINEWOOD TRAILS DR, ARDMORE, OK 73401-0665
(580) 465-7635
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-60587
OK
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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