Stacy Martin, MA, BCBA, COBA
Behavior Analyst in Gahanna, OH. Individual provider (NPI-1).
NPI number1760688907
StatusActive
Last updated in NPPESJul 19, 2023
Details
- NPI
- 1760688907
- Entity type
- Individual (NPI-1)
- Name
- Stacy Martin
- Credential
- MA, BCBA, COBA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 25, 2007
- Certification date
- Jul 19, 2023
- Last updated
- Jul 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
882 Eastchester DrGahanna, OH 43230-5137
Phone 919-771-3930
Mailing address
882 Eastchester DrGahanna, OH 43230-5137
Phone 919-771-3930
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