Individual
JAY MARTINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1800 112TH AVE NE STE 260E, BELLEVUE, WA 98004-2937
(425) 977-0088
Mailing address
1520 CHERRYLANE PL S, SEATTLE, WA 98144-3529
(206) 745-2121
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
BA60804346
WA
103T00000X
Psychologist
Primary
PY60805415
WA
Other
Enumeration date
08/09/2017
Last updated
08/06/2020
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