Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kamora Mary Alice Martin

Individual provider Behavior Technician · NPI 1902779861

Kamora Mary Alice Martin is a Behavior Technician in Fort Wayne, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2025
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Practice location Address checks out

5814 Countess Dr
Fort Wayne, IN 46815-7416
Phone: (630) 506-1235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (IN)

Record details

NPI number1902779861
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 26, 2025
Last updated in NPPESOctober 24, 2025
Certification dateSeptember 26, 2025

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