Nathan Ryan Martin

NPI #1053054833 in Montclair, California

Provider Information

NPI Number: 1053054833
Entity Type: Individual
Name: Nathan Ryan Martin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 19, 2022
Last Updated: Apr 19, 2022

Practice Location

Address: 4950 SAN BERNARDINO ST STE 101
City: Montclair
State: California
ZIP Code: 91763-2328
Phone: (800) 249-1266

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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