Karl William Martin, RBT
Individual provider Active NPI Behavior Technician · Hampden, MA
NPI 1497454698 · NPPES record last updated Feb 27, 2023
Key facts
- NPI
- 1497454698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- BACB812410 (MA)
- Practice address
- 85 Wilbraham Rd
Hampden, MA 01036-9705 - Phone
- (413) 419-5743
- NPI assigned
- Feb 27, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB812410 | MA | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | BACB812410 | MA | Yes |
Addresses
Primary practice location
85 Wilbraham Rd
Hampden, MA 01036-9705
Mailing address
33 Utica Dr
Worcester, MA 01603-1622
Phone (617) 855-1954
Other providers in Hampden, MA
- Kristina Milik Kowalski
- Danielle Love Lawrence
- Kathleen Marie Lee
- Maryam Lempke
- Luna Frith, LLC
- Mary Lyon Nursing and Rehabilitation Center
- Amberly Matt
- Kathleen Page
- Denise Marie Pelletier
- Sabrina Raffaele
All providers in Hampden, MA · Behavior Technician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.