Individual
KAISHELL MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42124 VETERANS AVE, HAMMOND, LA 70403-1427
(985) 500-3240
Mailing address
48240 WOODHAVEN RD, TICKFAW, LA 70466-3511
(985) 507-9013
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
08/05/2026
Last updated
08/05/2026
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