McKenna R Martinez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

24-391518 Issued in WY

Practice address

1603 Capitol Ave Ste 413C1005
Cheyenne, WY 82001-4569

Phone

(307) 364-3181

Fax

(855) 892-0299

NPI assigned

Nov 11, 2024

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

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.

• Step Ahead ABA Oh LLC

  • Behavior Analyst
  • Akron, OH
  • NPI 1033927793

  Behavior Technician

  NPD

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1124842778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6250",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443120250",
            "telephone_number": "888-238-1818",
            "fax_number": "855-915-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 CAPITOL AVE STE 413C1005",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014569",
            "telephone_number": "307-364-3181",
            "fax_number": "855-892-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MCKENNA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WY",
            "license": "24-391518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Martin
• Matthew Ray Martineau, PHARM D, RPH
• Robby Luis Martinez Vazquez
• Alisa Martinez
• Denise Ann Martinez
• Kristine Marie Martino, APRN
• Jace Aaron Marx
• Elizabeth B Marzluf, RN
• Tamara L Mason, DNP,FNP-C
• James Kenneth Massengill, RPH

• Behavior Technician in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Behavior Technician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.