Gwendolyn Martin, PHD, BCBA-D

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

14074 Trade Center Dr
Suite 134
Fishers, IN 46038-4563

Phone

(317) 966-1987

NPI assigned

Feb 3, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Conduct Curb, LLC

  • Behavior Analyst
  • Anderson, IN
  • NPI 1184142358
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399248000000",
    "number": "1043542970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14074 TRADE CENTER DR",
            "address_2": "SUITE 134",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460384563",
            "telephone_number": "317-966-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14074 TRADE CENTER DR",
            "address_2": "SUITE 134",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460384563",
            "telephone_number": "317-966-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "GWENDOLYN",
        "name_prefix": "Dr.",
        "credential": "PHD, BCBA-D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-03",
        "last_updated": "2014-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Marshall
• Martin Dentistry Geist PC
• Angelina Kaye Martin, LCSW
• Benjamin G. Martin, MD
• Greven Martin
• Helen M Martin, CRNP
• John Robert Martin
• Kimberly Martin, WRAPAROUND
• Michelle Martin, PHYSICAL THERAPIST
• Alicia Martinez-Garcia

• Behavior Analyst in Fishers, IN
• Providers in Fishers, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.