Miss Kimberly Renee Martin, BCBA-D is a
Behavior Analyst based in Owasso, Oklahoma. Miss Kimberly Renee Martin is licensed to practice in Tennessee (license number LBA0000000980) and her current practice location is
108 W 1st Ave Ste C, Owasso, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(855) 223-7123.
NPI number for Miss Kimberly Renee Martin is 1700333416 and her current mailing address is Po Box 740780, Atlanta, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700333416.
Healthcare Provider's Profile
| Full Name | Miss Kimberly Renee Martin |
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| Gender | Female |
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| Speciality | Behavior Analyst |
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| Location | 108 W 1st Ave Ste C, Owasso, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700333416
- Provider Enumeration Date: 09/10/2016
- Last Update Date: 02/10/2026
Medical Identifiers
Medical identifiers for Miss Kimberly Renee Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1700333416 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | LBA0000000980 (Tennessee) | Primary |
| 103K00000X | Behavior Analyst | (Florida) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Kimberly Renee Martin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Miss Kimberly Renee Martin, BCBA-D Po Box 740780, Atlanta, GA 30374-0780 Ph: (855) 223-7123 | Miss Kimberly Renee Martin, BCBA-D 108 W 1st Ave Ste C, Owasso, OK 74055-3137 Ph: (855) 223-7123 |
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