Madelin I Fernandez Martell

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-53907 Issued in FL

Practice address

2615 Fairways Dr
Homestead, FL 33035-1173

Phone

(786) 370-4198

NPI assigned

Jan 14, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Everlasting Achievements Health Group Corp

  • Behavior Analyst
  • Miami, FL
  • NPI 1841071529
  NPD Authorized official
• Professional Behavior Analysis Therapy Inc

  • Behavior Analyst
  • Miami, FL
  • NPI 1093424632
  NPD Authorized official

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1093355380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13540 SW 182ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331777126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 FAIRWAYS DR",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330351173",
            "telephone_number": "786-370-4198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ MARTELL",
        "first_name": "MADELIN",
        "middle_name": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-19-10095",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-53907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "madeiphone1969@gmail.com",
            "affiliation": "N",
            "address_1": "13540 SW 182nd St",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331777126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karla Fernandez Fonte
• Aisly Maria Fernandez Gonzalez
• Ronaldo Fernandez Lugo
• Javier Fernandez Mardomingo
• Yenisley Fernandez Marrero
• Ekaterina N/a Fernandez Montero, PMHNP
• Olga Fernandez Nunez, CBHCMS
• Roselsy Fernandez Oliva
• Ihosvany Fernandez Ortiz
• Claudia Fernandez Pelaez, NP

• Behavior Analyst in Homestead, FL
• Providers in Homestead, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.