Most Relevant Information
Provider Data
| NPI Number: | 1003381898 |
| Provider Name: | VICTORIA LYNN MARTIN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/08/2018 |
| Last Updated: | 10/08/2018 |
Provider Practice Location
1033 LARCHWOOD RD
MANSFIELD
OH
449072424
Practice Location Phone/Fax
| Phone: | 4197474122 |
| Fax: | 4197474126 |
Provider Mailing Location
425 BIRCHLAWN BLVD
MANSFIELD
OH
449072711
Provider Mailing Phone/Fax
| Phone: | 5672743865 |
| Fax: |