NPI Registry.org

Tracee Diane Martin

NPI Registration Record

Provider / OrganizationNPIDate Certified
TRACEE DIANE MARTIN15185469442021-04-04

Tracee Diane Martin is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1518546944. Registration indicates Tracee Diane Martin is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )

Entity TypeIndividual
Provider Name Tracee Diane Martin
Practice Office Address202 HOWARD ST STE 3
AUBURNDALE, FL US
Practice Office Telephone8635513300
Mailing AddressPO BOX 1057
LAKE ALFRED, FL 338501057 US
HPT Codes
CodePractice
License No
State
106S00000X PRIMARY
Behavioral Health & Social Service Providers
Behavior Technician
Behavior Technician
Behavioral Health & Social Service Providers
Behavior Technician
RBT-21-161728
FL
OPI Codes

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