Individual
TAYLOR INGRAM-MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 HEATH ST, CHESTNUT HILL, MA 02467-2332
(321) 223-3904
Mailing address
400 HEATH ST, CHESTNUT HILL, MA 02467-2332
(321) 223-3904
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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