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Individual

MS. DASIA MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
4006 S WESTERN AVE, CHICAGO, IL 60609-2259
(312) 995-4412
Mailing address
1450 N SEDGWICK ST APT 2137-2A, CHICAGO, IL 60610-1249
(773) 670-9065

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
IL

Other

Enumeration date
06/15/2026
Last updated
06/15/2026
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