Individual
MR. BRENTON RAY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
8 W BLOOMFIELD PKWY, ERIE, PA 16509-5170
(814) 824-4515
(814) 824-4533
Mailing address
8 W BLOOMFIELD PKWY, ERIE, PA 16509-5170
(814) 824-4515
(814) 824-4533
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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