Merrill Martin in Jacksonville - Behavior Analyst

Merrill Martin - NPI 1023271517

Merrill Martin is a Behavior Analyst in Jacksonville, Florida. Merrill Martin practices all healthcare services and medical treatments related to Behavior Analyst. The NPI Number for Merrill Martin is 1023271517. The last update date is 2022-02-10.

Merrill Martin's current location address is 4443 Bass Pl N, Jacksonville, Florida. You can contact this provider via phone number 9044650090 and fax number 9042121032. The mailing address for Merrill Martin is 4443 Bass Pl N, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Merrill Martin
Address 4443 Bass Pl N, Jacksonville, Florida
Phone Number 9044650090
Fax Number 9042121032
Sole Proprietor N
Credentials M.S., BCBA

NPI Number Detail

NPI Number 1023271517
Provider Enumeration Date 2008-07-07
Last Updated Date 2022-02-10

Provider Mailing Address Detail

Address 4443 Bass Pl N
City Jacksonville
State Florida (FL)
Post Code 322106000
Phone Number 9044650090
Fax Number 9042121032

Provider's Primary Taxonomy Detail

Speciality Behavior Analyst
Taxonomy 103K00000X
Licence No 3045-01-06 0
Definition:
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the requi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
19880600 FL --
17637000 FL --

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FAQs about Merrill Martin

What is the unique 10-digit identification code issued to Merrill Martin by the Centers for Medicare & Medicaid Services?

The Merrill Martin has been assigned the NPI (National Provider Identifier) 1023271517 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Merrill Martin is physically located?

The Merrill Martin is situated at the following address: 4443 Bass Pl N, Jacksonville, FL 322106000.

What is the area of specialization for Merrill Martin, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Merrill Martin is Behavior Analyst, and the corresponding taxonomy code that categorizes this area of expertise is 103K00000X.

When was the Merrill Martin's 1023271517 issued?

The Merrill Martin's 1023271517 was issued on 2008-07-07.

As of what date was the information regarding Merrill Martin, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Merrill Martin, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-02-10.

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