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NPI Code Detail

MEDICARE: CATHERINE EMILY MARTINS BCBA, LABA

MEDICARE: CATHERINE EMILY MARTINS BCBA, LABA
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1396246435
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE EMILY MARTINS BCBA, LABA
Provider Business Mailing Address
First Line : 35 ELBERT RD
Second Line :
City : AGAWAM
State : MA
Zip : 01001-3201
Country : US
Telephone Number : 413-237-9314
Fax Number :
Provider Business Practice Location Address
First Line : 1649 61ST ST STE 3013
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-2746
Country : US
Telephone Number : 413-237-9314
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2018
Last Update Date : 12/08/2025

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