Individual
MS. ASHLEY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC,BCBA,LBA, CMAC,
Contact information
Practice address
500 LANIER AVE W STE 608, FAYETTEVILLE, GA 30214-7644
(770) 580-4116
(888) 522-1055
Mailing address
500 LANIER AVE W STE 608, FAYETTEVILLE, GA 30214-7644
(770) 580-4116
(888) 522-1055
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC012784
GA
103K00000X
Behavior Analyst
1-21-48833
GA
Other
Enumeration date
03/27/2018
Last updated
10/08/2025
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