Active NPI
Deonxiya Martin
- Behavior Technician
- West Palm Beach, FL
National Provider Identifier
1144009366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-241815
- Practice address
- 854 Summit Lake Dr
West Palm Beach, FL 33406-9109 - Phone
- (561) 629-0508
- NPI assigned
- Sep 26, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-241815 | FL | Primary |
Addresses
Primary practice location
854 Summit Lake Dr
West Palm Beach, FL 33406-9109
Mailing address
9815 Cross Pine CT
Lake Worth, FL 33467-2367
Phone (561) 223-8076
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-241815 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1144009366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9815 CROSS PINE CT",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334672367",
"telephone_number": "561-223-8076",
"fax_number": "561-584-5372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "854 SUMMIT LAKE DR",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334069109",
"telephone_number": "561-629-0508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "DEONXIYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-26",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-22-241815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.