Individual provider Active NPI

Danielle Martin

  • Behavior Technician
  • Palm Beach Gardens, FL
National Provider Identifier
1114488822
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
106S0000X
Practice address
12300 Alt A1A Ste 114-116
Palm Beach Gardens, FL 33410-2205
Phone
(561) 436-9283
Fax
(561) 209-0021
NPI assigned
Mar 26, 2019
Last updated
Aug 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 106S0000X Primary

Addresses

Primary practice location

12300 Alt A1A Ste 114-116
Palm Beach Gardens, FL 33410-2205

Mailing address

12300 Alt A1A Ste 114-116
Palm Beach Gardens, FL 33410-2205
Phone (561) 436-9283

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

NPI Registry JSON

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1114488822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12300 ALT A1A STE 114-116",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102205",
            "telephone_number": "561-436-9283",
            "fax_number": "561-209-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 ALT A1A STE 114-116",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102205",
            "telephone_number": "561-436-9283",
            "fax_number": "561-209-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DANIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "106S0000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.