MEDICARE: ALEXANDER COLE MARTIN

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	:	1215823281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER COLE MARTIN

Provider Business Mailing Address
First Line	:	76 MERITAGE CMN UNIT 202
Second Line	:
City	:	LIVERMORE
State	:	CA
Zip	:	94551-7490
Country	:	US
Telephone Number	:	510-714-0279
Fax Number	:

Provider Business Practice Location Address
First Line	:	5601 ARNOLD RD STE 108
Second Line	:
City	:	DUBLIN
State	:	CA
Zip	:	94568-7726
Country	:	US
Telephone Number	:	925-940-1541
Fax Number	:

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

Provider Enumeration Date	:	06/16/2025
Last Update Date	:	06/16/2025

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Directions to “ ALEXANDER COLE MARTIN ” Practice Location

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