MARTAVIUS UNDERWOOD

MARIETTA, GA
NPI1215645643
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies106S00000X Behavior Technician
(Licence: GA  22242911)
Enumeration Date2022-11-15
Last Update Date2024-07-03
Business Address
MARTAVIUS UNDERWOOD RBT
2401 WINDY HILL RD SE APT 1763F
MARIETTA, GA 30067-8529
Phone number: 706-239-9588
Mailing Address
MARTAVIUS UNDERWOOD RBT
1110 13TH ST STE D
COLUMBUS, GA 31901-2246
Phone number: