Individual
MISS COURTNEY RENEE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBS
Contact information
Practice address
833 MEADOW AVE, MONACA, PA 15061-1238
(724) 601-7612
Mailing address
833 MEADOW AVE, MONACA, PA 15061-1238
(724) 601-7612
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-44852
PA
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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