Individual
KIMBERLY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 N TRIPP AVE, CHICAGO, IL 60639-2020
(312) 918-4598
Mailing address
2525 N TRIPP AVE, CHICAGO, IL 60639-2020
(312) 918-4598
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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