Individual
MICHAELA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6185 S PECOS RD STE 208, LAS VEGAS, NV 89120-3209
(702) 787-8762
Mailing address
8428 SEWARDS BLUFF AVE, LAS VEGAS, NV 89129-7373
(702) 628-6642
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/13/2015
Last updated
01/28/2016
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