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1649640053
CHARLES BRENT MARTIN
PANAMA CITY, FL
NPI
1649640053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: FL 1-10-6993)
Enumeration Date
2015-09-28
Last Update Date
2017-05-09
Business Address
Mr. CHARLES BRENT MARTIN M.S., BCBA
203 FOREST PARK CIR SUITE E
PANAMA CITY, FL 32405-4916
Phone number: 850-615-0358
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Mailing Address
Mr. CHARLES BRENT MARTIN M.S., BCBA
PO BOX 1019
LYNN HAVEN, FL 32444-1019
Phone number: 850-615-0358
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