Individual
MRS. JENNIFER MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
189 WHEATLEY RD, GLEN HEAD, NY 11545-2641
(516) 626-1075
Mailing address
18 ELM DR, EAST NORTHPORT, NY 11731-1518
(631) 921-4269
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/22/2011
Last updated
12/14/2022
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