Individual provider Active NPI

Eric Anthony Martinez

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1194018960
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-30648 Issued in FL
Practice address
10117 SW 164TH CT
Miami, FL 33196-4887
Phone
(305) 282-7401
NPI assigned
May 26, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-18-30648 FL Primary

Addresses

Primary practice location

10117 SW 164TH CT
Miami, FL 33196-4887

Mailing address

10117 SW 164TH CT
Miami, FL 33196-4887
Phone (305) 282-7401

Other practice location 1

9600 NW 25th St Ph
Doral, FL 33172-1416
Phone (305) 597-3861

Other practice location 2

850 NW Federal Hwy Ste 173
Stuart, FL 34994-1019
Phone (954) 579-7973

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

Practice roles

OrganizationSpecialtyStatusNew patients
ABA Therapy Concepts, LLC Behavior Analyst CurrentSince Jul 16, 2023 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1194018960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10117 SW 164TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331964887",
            "telephone_number": "305-282-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10117 SW 164TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331964887",
            "telephone_number": "305-282-7401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9600 NW 25th St Ph",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331721416",
            "country_code": "US",
            "telephone_number": "305-597-3861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 NW Federal Hwy Ste 173",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349941019",
            "country_code": "US",
            "telephone_number": "954-579-7973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ERIC",
        "middle_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-26",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-18-30648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.