Most Relevant Information
Provider Data
| NPI Number: | 1003517012 |
| Provider Name: | MAYRA MARIN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/15/2023 |
| Last Updated: | 03/15/2023 |
Provider Practice Location
268 VETERANS PKWY STE J
MURFREESBORO
TN
371286432
Practice Location Phone/Fax
| Phone: | 6292076370 |
| Fax: |
Provider Mailing Location
552 BRAGG AVE
SMYRNA
TN
371674755
Provider Mailing Phone/Fax
| Phone: | 6156021027 |
| Fax: |