MARY MARTIN, IMFT-S, BCBA, COBA

Counselor - Mental Health

Active Individual
NPI: 1750721452

Practice Address

22001 FAIRMOUNT BLVD
Shaker Heights, OH 44118

Phone: (216) 932-2800

Specialties

Specialty Code Primary License
Behavior Analyst 103K00000X No COBA.00418 (OH)
Marriage & Family Therapist 106H00000X No M1300014 (OH)
Counselor - Mental Health 101YM0800X Yes F.1900094-SUPV (OH)

Frequently Asked Questions

NPI 1750721452 is the National Provider Identifier for MARY MARTIN, IMFT-S, BCBA, COBA, a Counselor - Mental Health provider located in Shaker Heights, OH. This NPI was enumerated on June 27, 2013.
MARY MARTIN, IMFT-S, BCBA, COBA practices at 22001 FAIRMOUNT BLVD, Shaker Heights, OH 44118.

Quick Facts

NPI
1750721452
Type
Individual
Enumerated
Jun 27, 2013
Last Updated
Oct 13, 2022

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