Most Relevant Information
Provider Data
| NPI Number: | 1003479692 |
| Provider Name: | JAMISHA MARIE MARTIN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/18/2019 |
| Last Updated: | 04/23/2019 |
Provider Practice Location
1025 ATLANTIC AVE
ALAMEDA
CA
945011189
Practice Location Phone/Fax
| Phone: | 5102688120 |
| Fax: |
Provider Mailing Location
1025 ATLANTIC AVE STE 101
ALAMEDA
CA
945011188
Provider Mailing Phone/Fax
| Phone: | 5102688120 |
| Fax: |