Female

Jeryca J. Martell BCBA

Behavioral Analyst in Bismarck, ND(View on Map)

Full Name

Jeryca J Martell BCBA

NPI Number

1649799495

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/13/2017

Specialties

(Taxonomies)

Code

103K00000X

Primary Taxonomy

Yes

Licenses

State

North Dakota

License Number

L49

Contact
Information

Purpose

Mailing
Location

Address

3060 FRONTIER WAY S
4530 NORTHERN SKY DR

City

Fargo
Bismarck

State

ND
ND

Postal Code

58104-8909
58503-8534

Country

US
US

Telephone Number

(701) 232-2340
(701) 751-6336

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/09/2023

Provider Address

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