Vanessa Holme Martz, M.S., L.P.C.

Individual provider Active NPI Behavior Analyst · Abbeville, AL

NPI 1750649752 · NPPES record last updated May 4, 2012

Key facts

NPI
1750649752
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
006778 (GA)
Practice address
1633 Calhoun Dr
Abbeville, AL 36310-5643
Phone
(334) 687-5056
NPI assigned
Apr 26, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
006778GAMDChiropractor
1770ALMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 006778 GA Yes
Specialist 174400000X 1770 AL

Addresses

Primary practice location

1633 Calhoun Dr
Abbeville, AL 36310-5643

Mailing address

PO Box 1103
Eufaula, AL 36072-1103
Phone (334) 687-5056

Other providers in Abbeville, AL

All providers in Abbeville, AL · Behavior Analyst in Alabama

Sources for this page

Verify at the official NPI Registry.