Individual
MAYRA MARTINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
938 S WASHINGTON ST APT 203, SALT LAKE CITY, UT 84101-3017
(925) 338-4764
Mailing address
938 S WASHINGTON ST APT 203, SALT LAKE CITY, UT 84101-3017
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
103085222506
UT
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
02/26/2016
Last updated
04/03/2017
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