Media Dahnine Martin

NPI #1417461567 in Kennett, Missouri

Provider Information

NPI Number: 1417461567
Entity Type: Individual
Name: Media Dahnine Martin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 28, 2017
Last Updated: Nov 28, 2017

Practice Location

Address: 925 HIGHWAY VV
City: Kennett
State: Missouri
ZIP Code: 63857-0071
Phone: (573) 888-5925

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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