Individual
AISHA L MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4435 COBIA DR, TAMPA, FL 33617-8205
(813) 770-9983
Mailing address
4435 COBIA DR, TAMPA, FL 33617-8205
(813) 770-9983
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106S00000X
—
FL
Enumeration date
04/05/2019
Last updated
04/05/2019
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