Casey Benjamin Martin
Behavior Technician in Costa Mesa, CA. Individual provider (NPI-1).
NPI number1104769306
StatusActive
Last updated in NPPESApr 13, 2026
Details
- NPI
- 1104769306
- Entity type
- Individual (NPI-1)
- Name
- Casey Benjamin Martin
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 13, 2026
- Certification date
- Apr 12, 2026
- Last updated
- Apr 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | CA | Yes |
Practice location
3186 Airway Ave Ste ACosta Mesa, CA 92626-4650
Phone 714-881-0427
Mailing address
3186 Airway Ave Ste ACosta Mesa, CA 92626-4650
Phone 714-881-0427
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All 1,011 Behavior Technician providers in Costa Mesa · All 5,371 providers in Costa Mesa
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