NPI 1063202760

Channing Makenzie Martin

Practitioner Assistant Behavior Analyst Bellevue, WA

Practice location

Address: 2310 130th Ave NE STE 100, Bellevue, WA 98005-1757
Phone: (425) 882-8868
Fax: (425) 633-2282

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence CB70003238 (WA)

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Registry record

NPI: 1063202760
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 May 2025
Record last updated: 7 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.