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Individual

KATHARYN ELIZABETH MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCABA, COTA/L

Contact information

Practice address
7617 LITTLE RIVER TPKE STE 100, ANNANDALE, VA 22003-2603
(703) 639-0950
Mailing address
8241 OLD HAGERSTOWN RD, MIDDLETOWN, MD 21769-8826
(717) 891-6754

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133005209
VA
106E00000X
Assistant Behavior Analyst
VA
106S00000X
Behavior Technician
VA
224Z00000X
Occupational Therapy Assistant
VA

Other

Enumeration date
01/29/2024
Last updated
05/04/2026
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