NPI 1912443185

Dallas Martin

Practitioner Behavior Analyst East Tawas, MI

Practice location

Address: 111 Newman St, East Tawas, MI 48730-1272
Phone: (231) 668-4909
Mailing address: 1500 S Douglas Rd STE 230, Coral Gables, FL 33134-4108

Registered specialties (3)

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

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Assistant Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 106E00000X

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Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1912443185
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jan 2017
Record last updated: 24 Jun 2021

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.