Martin, Georgina L.

Martin, Georgina L. is an individual health care provider with primary practice located at 17421 Sw 144Th Ct , Miami FL 33177. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is her primary health care specialty. Martin, Georgina L. can be contacted via phone (786) 556-8983.

Contact Information

Primary practice address
17421 Sw 144Th Ct Miami FL 33177
Phone: (786) 556-8983
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X Florida

Profile Details

NPI number 1043477151
LBN Legal business name Martin, Georgina L.
Credentials BS
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2008
Last updated Jun 15th, 2018 - about 6 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 1043477151 NPPES
Florida MEDICAID 017570000

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