Individual
AMAYA JOLISE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 WESLEYAN DR, MC ADENVILLE, NC 28101-9013
(704) 271-3111
Mailing address
8923 LONGVIEW DR, CHARLOTTE, NC 28214-9575
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-473936
NC
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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