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1679944763
KATELYN ELIZABETH MARTIN
DIBERVILLE, MS
NPI
1679944763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: MS 180058)
Enumeration Date
2015-10-14
Last Update Date
2018-07-30
Business Address
Mrs. KATELYN ELIZABETH MARTIN BCBA, LBA
4061 SUZANNE DR
DIBERVILLE, MS 39540
Phone number: 228-396-4434
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Mailing Address
Mrs. KATELYN ELIZABETH MARTIN BCBA, LBA
3173B CANARY CIR
GULFPORT, MS 39501-4508
Phone number: 228-731-9598
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