Jared Martin

NPI #1154015964 in Clayton, Missouri

Provider Information

NPI Number: 1154015964
Entity Type: Individual
Name: Jared Martin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 5, 2023
Last Updated: Jun 5, 2023

Practice Location

Address: 7777 BONHOMME AVE STE 1800
City: Clayton
State: Missouri
ZIP Code: 63105-1931
Phone: (636) 202-0693

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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