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General NPI Number Information
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NPI Number | 1144912338
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Entity Type | Individual
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Provider Name | LYDIA B MARTIN MS, RBT
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Gender | Female
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Dates
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Enumeration Date | 05/24/2023
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 1220 ASHLEY CIR
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City | BOWLING GREEN
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State | KY
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Zip | 42104-3338
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Country | US
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Telephone | 800-345-0448
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Fax |
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Provider Business Mailing Address
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Address Line | 6394 COLLEGE BLVD
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City | OVERLAND PARK
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State | KS
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Zip | 66211-1506
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Country | US
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Telephone | 800-345-0448
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-22-250259
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-25-80905
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License Number State | KY
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