Individual
ALEXANDER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
1550 PIDCO DR, PLYMOUTH, IN 46563-1355
(574) 387-4313
Mailing address
1824 TOUBY PIKE STE B, KOKOMO, IN 46901-2573
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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