Amanda Renee Martinez, MS, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

11727180 Issued in CA

Practice address

4001 11TH St
Riverside, CA 92501-3501

Phone

(951) 346-4860

NPI assigned

Sep 27, 2017

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

Credentials

Master of Science

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 and National Provider Directory roles.

• Leili Zarbakhsh Integrated Individual and Family Therapy Prof. Corp.

  • Psychologist
  • Riverside, CA
  • NPI 1235615543
  NPD (past)

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506470400000",
    "number": "1194234732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 W EVANS ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 11TH ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013501",
            "telephone_number": "951-346-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "AMANDA",
        "middle_name": "RENEE",
        "credential": "MS, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2017-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "11727180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Bryant Martinez
• Alex Martinez
• Alexa Martinez
• Alicia Moya Martinez
• Alyssa Marie Martinez
• Andrew Michael Martinez
• Anette Martinez
• Angela M Martinez
• Antoinette Martinez
• Ariel Martinez

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2017; 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.