Martin, David G

Martin, David G is an individual health care provider with primary practice located at 279 Clear Sky Ct Suite C, Clarksville TN 37043-5946. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Martin, David G can be contacted via phone (615) 613-1869.

Contact Information

Primary practice address
279 Clear Sky Ct Suite C Clarksville TN 37043-5946
Phone: (615) 613-1869
Fax: (931) 919-2191
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-14-9787 Tennessee

Profile Details

NPI number 1407250392
LBN Legal business name Martin, David G
Credentials M.ED., BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2014
Last updated Oct 21st, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407250392 NPPES
Other 1-14-9787 BACB CERTIFICATION NUMBER

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