KOUTA MARTIN HERNANDEZ

CHARLESTON, SC
NPI1386403202
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2024-03-14
Last Update Date2024-03-14
Business Address
KOUTA MARTIN HERNANDEZ RBT
1820 1ST DR
CHARLESTON, SC 29407-5756
Phone number: 252-347-7823
Mailing Address
KOUTA MARTIN HERNANDEZ RBT
PO BOX 80901
CHARLESTON, SC 29416-0901
Phone number: 252-347-7823