Martin, Christian Atlas

Martin, Christian Atlas is an sole proprietor health care provider with primary practice located at 82 N Lake Pointe Dr , Columbia SC 29229-4335. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Martin, Christian Atlas can be contacted via phone (803) 582-9003.

Contact Information

Primary practice address
82 N Lake Pointe Dr Columbia SC 29229-4335
Phone: (803) 582-9003
Fax: (803) 736-6137
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-10-7427 South Carolina

Profile Details

NPI number 1689976854
LBN Legal business name Martin, Christian Atlas
Credentials M.A.T., PH.D., BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2010
Last updated Nov 22nd, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689976854 NPPES
South Carolina MEDICAID WP8953

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