Individual provider Active NPI

Marlon Fernandez Martin

  • Behavior Analyst
  • Sunrise, FL
National Provider Identifier
1093565277
Registry record updated Nov 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-26-2864077 Issued in FL
Practice address
2031 NW 74TH Ave
Sunrise, FL 33313-3815
Phone
(786) 201-4640
NPI assigned
Mar 22, 2024
Last updated
Nov 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X RBT-24-334366 FL
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 1-26-2864077 FL Primary

Addresses

Primary practice location

2031 NW 74TH Ave
Sunrise, FL 33313-3815

Mailing address

2031 NW 74TH Ave
Sunrise, FL 33313-3815
Phone (786) 201-4640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RBT-24-334366FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793750400000",
    "number": "1093565277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 NW 74TH AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333133815",
            "telephone_number": "786-201-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 NW 74TH AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333133815",
            "telephone_number": "786-201-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ MARTIN",
        "first_name": "MARLON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-22",
        "last_updated": "2026-11-04",
        "certification_date": "2026-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-334366",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-26-2864077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2026; 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.