Individual
ALICIA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1651 OLD MEADOW RD STE 600, MCLEAN, VA 22102-4389
(703) 506-0123
Mailing address
1247 S 96TH ST APT 354, MESA, AZ 85209-4392
(480) 276-3355
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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