Individual
MISS COURTNEY LYNN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
21055 NE 91ST ST, REDMOND, WA 98053-7616
(425) 301-7698
Mailing address
21055 NE 91ST ST, REDMOND, WA 98053-7616
(425) 301-7698
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-39494
WA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/04/2013
Last updated
10/10/2023
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