JONAH DANIEL MARTIN

BELLEVILLE, IL
NPI1427426782
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: IL  1-09-5883)
Enumeration Date2015-09-03
Last Update Date2015-09-03
Business Address
-- JONAH DANIEL MARTIN BCBA
900 ROYAL HEIGHTS RD
BELLEVILLE, IL 62226-5457
Phone number: 314-560-7063
Mailing Address
-- JONAH DANIEL MARTIN BCBA
PO BOX 58 405 WEST WARD
ENERGY, IL 62933-0058
Phone number: 618-534-0315