Derrick Adam Martin
Derrick Adam Martin is a Behavior Technician in Bloomington, Indiana. Licensed in Indiana. Registered with an NPI since 2022.
- Licensed in
- IN
- In the registry since
- 2022
Practice location Address checks out
1501 W Tapp RdBloomington, IN 47403-3459
Phone: (812) 330-4460
Fax: (812) 330-4461
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-22-218726 (IN) |
|---|
Record details
| NPI number | 1154060416 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 3, 2022 |
| Last updated in NPPES | June 3, 2022 |
| Certification date | June 3, 2022 |
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