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MRS. JENNY C MARTIN M.S., BCBA

Behavioral Analyst

Carbondale, Illinois

Provider NPI: 1164656393

Provider Information:
MRS. JENNY C MARTIN M.S., BCBA
Gender: F
Not Sole Proprietor

Practice Location:
625 WHAM DR WHAM 124, CENTER FOR AUTISM SPECTRUM DISORDERS CARBONDALE, IL 62901 US
Tel: 618-453-7158  Fax: 618-453-7178

Business Mailing Address:
625 WHAM DR WHAM 124, CENTER FOR AUTISM SPECTRUM DISORDERS CARBONDALE, IL 62901 US
Tel: 618-453-7158  Fax: 618-453-7178

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103K00000X










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