Individual
MRS. REGINA M. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
70-00 AUSTIN STREET, ACHIEVE BEYOND SUITE 200, FOREST HILLS, NY 11375
(718) 762-7633
Mailing address
2765 SEDGWICK AVE APT 4F, BRONX, NY 10468-2448
(347) 490-2610
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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