Individual
ANGELA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
3509 US HIGHWAY 17, ORANGE PARK, FL 32003
(904) 579-3280
(904) 538-0714
Mailing address
10175 FORTUNE PARKWAY, SUITE 903, JACKSONVILLE, FL 32256
(904) 538-0713
(904) 538-0714
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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