Kasey Lynn Martin
Behavior Technician in Fairfax, VA. Individual provider (NPI-1).
NPI number1982166336
StatusActive
Last updated in NPPESApr 4, 2019
Details
- NPI
- 1982166336
- Entity type
- Individual (NPI-1)
- Name
- Kasey Lynn Martin
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 4, 2019
- Last updated
- Apr 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
11240 Waples Mill Rd Ste 101Fairfax, VA 22030-6078
Phone 804-572-9184
Mailing address
8333 Silkwood CtMechanicsville, VA 23116-1894
Phone 804-572-9184
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