MEDICARE: DEMOND MARKEITH 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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1225820376
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEMOND MARKEITH MARTIN

Provider Business Mailing Address
First Line	:	2270 MADISON RD APT 4A-B
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45208-2633
Country	:	US
Telephone Number	:	513-578-2706
Fax Number	:

Provider Business Practice Location Address
First Line	:	2270 MADISON RD APT 4A-B
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45208-2633
Country	:	US
Telephone Number	:	513-578-2706
Fax Number	:

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

Provider Enumeration Date	:	05/22/2025
Last Update Date	:	05/22/2025

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Directions to “ DEMOND MARKEITH MARTIN ” Practice Location

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