Staci Martinez, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

3298 Issued in TX

Practice address

439 W Harris Ave
San Angelo, TX 76903-6392

Phone

(325) 939-2650

NPI assigned

Jun 25, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Staci Lawhone Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1144881715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 W HARRIS AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769036392",
            "telephone_number": "325-939-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 W HARRIS AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769036392",
            "telephone_number": "325-939-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "STACI",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "3298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACI",
            "last_name": "LAWHONE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joel Enrique Martinez, LCSW
• Marie A Martinez, LPC-INTERN
• Marisa Martinez, OCCUPATIONAL THERAPY
• Martha H Martinez
• Peggy A Martinez, LCSW
• Jim K Maruthoor, MD
• Tina M Mascorro-Rios, RBT
• Judith Hayley Mason
• Robert Marshall Masterson, LPC
• Masvida Health Care Solutions LLC

• Behavior Analyst in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.