Individual provider Active NPI

Martina Y Gerena, BCBA

  • Behavior Analyst
  • Orlando, FL
National Provider Identifier
1134755853
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-51563 Issued in FL
Practice address
7948 Forest City Rd
Orlando, FL 32810-2907
Phone
(689) 208-2208
NPI assigned
Mar 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-20-113092 FL
Behavior Analyst 103K00000X 1-21-51563 FL Primary

Addresses

Primary practice location

7948 Forest City Rd
Orlando, FL 32810-2907

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (321) 277-8548

Other practice location 1

901 Clark St
Oviedo, FL 32765-7378
Phone (407) 359-5693

Other names 1

  • Martina Y Vinci Other name

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-20-113092FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Gage Enterprises ABA Therapy LLC Behavior Analyst CurrentSince Aug 13, 2023 Accepting new patients
Hopebridge, LLC Behavior Analyst PastSince Feb 2, 2025 Accepting new patients
My Favorite Therapists, LLC Behavior Analyst PastSince Aug 1, 2021 Accepting new patients
Hidden Potential Florida LLC Behavior Analyst PastSince Mar 1, 2022 Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1134755853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 3070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686135",
            "telephone_number": "321-277-8548",
            "fax_number": "317-520-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7948 FOREST CITY RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328102907",
            "telephone_number": "689-208-2208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Clark St",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "327657378",
            "country_code": "US",
            "telephone_number": "407-359-5693",
            "fax_number": "407-792-5693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERENA",
        "first_name": "MARTINA",
        "middle_name": "Y",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-13",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-113092",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-51563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTINA",
            "last_name": "VINCI",
            "middle_name": "Y",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.