TRACE MARTIN

KOKOMO, IN
NPI1912747197
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: IN  RBT-24-341690)
Enumeration Date2024-05-28
Last Update Date2024-05-28
Business Address
TRACE MARTIN RBT
1558 E BOULEVARD STE A
KOKOMO, IN 46902-2587
Phone number: 765-252-0530
Mailing Address
TRACE MARTIN RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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