Coryn Martin

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

002403 Issued in NY

Practice address

14 Thornton CMNS
Yaphank, NY 11980-2039

Phone

(163) 137-9383

NPI assigned

May 1, 2024

Last updated

May 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• ABA Children Services LLC

  • Behavior Analyst
  • Raleigh, NC
  • NPI 1346909868
  NPD (past)

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1184471948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 THORNTON CMNS",
            "city": "YAPHANK",
            "state": "NY",
            "postal_code": "119802039",
            "telephone_number": "163-137-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 THORNTON CMNS",
            "city": "YAPHANK",
            "state": "NY",
            "postal_code": "119802039",
            "telephone_number": "163-137-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CORYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "002403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Bovaird Kilmer, DPT
• Bryan Scott Knoell, MS,PT
• Khin M Latt, M.D.
• Richard Joseph Lopez, PH.D.
• Nicole Marengo
• Emily Lynn Martino, MSED
• Maryhaven Center of Hope Inc.
• Jillian Maute, LPN
• Carleen A Mazzie
• Linda McCarthy, MSW

• Behavior Analyst in Yaphank, NY
• Providers in Yaphank, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.

Verify at the official NPI Registry.