Individual
MRS. TERESA G MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
279 CLEAR SKY COURT, SUITE C, CLARKSVILLE, TN 37043
(615) 613-1868
(931) 919-2191
Mailing address
1853 MADISON STREET, UNIT 8, CLARKSVILLE, TN 37043
(615) 614-1868
(931) 919-2191
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-9471
TN
Other
Enumeration date
03/06/2012
Last updated
03/11/2015
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