MEDICARE: MARTIN VOLTAIRE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1477073245
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTIN VOLTAIRE

Provider Business Mailing Address
First Line	:	6766 VINEYARD DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70812-2149
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6766 VINEYARD DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70812-2149
Country	:	US
Telephone Number	:	225-447-2776
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2017
Last Update Date	:	06/22/2017

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Directions to “ MARTIN VOLTAIRE ” Practice Location

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