Martin, Dallas

Martin, Dallas is an individual health care provider with primary practice located at 111 Newman St , East Tawas MI 48730-1272. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Martin, Dallas can be contacted via phone (231) 668-4909.

Contact Information

Primary practice address
111 Newman St East Tawas MI 48730-1272
Phone: (231) 668-4909
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Michigan
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1912443185
LBN Legal business name Martin, Dallas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2017
Last updated Jun 24th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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