Jeon Carter Martinez

Individual provider Active NPI Behavior Analyst · Brunswick, GA

NPI 1154095040 · NPPES record last updated Oct 2, 2024

Key facts

NPI
1154095040
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
650 Scranton Rd Ste C
Brunswick, GA 31520-1930
Phone
(912) 275-8697
NPI assigned
Aug 4, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Behavioral & Developmental Consultants LLC Behavior Analyst Past
since Aug 1, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

650 Scranton Rd Ste C
Brunswick, GA 31520-1930

Mailing address

650 Scranton Rd Ste C
Brunswick, GA 31520-1930
Phone (912) 275-8697

Other providers in Brunswick, GA

All providers in Brunswick, GA · Behavior Analyst in Georgia

Sources for this page

Verify at the official NPI Registry.