Provider Demographics
NPI:1841631199
Name:MARTIN, SETH ALEXANDER (BS)
Entity type:Individual
Prefix:MR
First Name:SETH
Middle Name:ALEXANDER
Last Name:MARTIN
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3981 KYLE LANE
Mailing Address - Street 2:MILESTONES BEHAVIOR CONSULTING
Mailing Address - City:VESTIVA
Mailing Address - State:AL
Mailing Address - Zip Code:35243
Mailing Address - Country:US
Mailing Address - Phone:205-610-9616
Mailing Address - Fax:
Practice Address - Street 1:3981 KYLE LANE
Practice Address - Street 2:MILESTONES BEHAVIOR CONSULTING
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35243
Practice Address - Country:US
Practice Address - Phone:256-454-1128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-16
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist