Crystal Martinez, M.S. B.C.B.A

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-09-5840 Issued in CA

Practice address

429 Poets SQ
Fallbrook, CA 92028-6004

Phone

(619) 578-9958

NPI assigned

Jul 21, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1174836944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 POETS SQ",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920286004",
            "telephone_number": "619-578-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 POETS SQ",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920286004",
            "telephone_number": "619-578-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "CRYSTAL",
        "name_prefix": "Mrs.",
        "credential": "M.S. B.C.B.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-21",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-09-5840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manfredi Chiropractic Professional Corporation
• Vanessa Manfredi, DC
• Mark Jesinoski, PHD., LLC
• Judith Markham, RN, IBCLC
• Rhiannon Holly Martin
• Robert Martinez, MPT
• Joyce McClenney, PH.D.
• Dianne Louise McClintock, D.C.
• Sean Patrick McCray
• Barbie McGhee

• Behavior Analyst in Fallbrook, CA
• Providers in Fallbrook, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.