Active NPI
Kiely Martin, BCBA
- Behavior Analyst
- Virginia Beach, VA
National Provider Identifier
1144052093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 348 Southport Cir Ste 101
Virginia Beach, VA 23452-1181 - Phone
- (757) 699-4289
- NPI assigned
- Aug 19, 2024
- Sex
- Female
- Sole proprietor
- No
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 Analyst | 103K00000X | Primary |
Addresses
Primary practice location
348 Southport Cir Ste 101
Virginia Beach, VA 23452-1181
Mailing address
1500 S Douglas Rd Ste 230
Coral Gables, FL 33134-4108
Phone (844) 854-1116
Other practice location 1
1822 Spring Garden Street
2nd Floor
Philadelphia, PA 19130
Phone (215) 607-6835
Other practice location 2
700 Abbott Dr
Broomall, PA 19008-4323
Phone (484) 255-3822
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": "1724025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746057600000",
"number": "1144052093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 S DOUGLAS RD STE 230",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331344108",
"telephone_number": "844-854-1116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "348 SOUTHPORT CIR STE 101",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234521181",
"telephone_number": "757-699-4289"
}
],
"practiceLocations": [
{
"address_1": "1822 Spring Garden Street",
"address_2": "2nd Floor",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "19130",
"country_code": "US",
"telephone_number": "215-607-6835",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 Abbott Dr",
"address_purpose": "LOCATION",
"city": "Broomall",
"state": "PA",
"postal_code": "190084323",
"country_code": "US",
"telephone_number": "484-255-3822",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "KIELY",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-19",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.