Theresa Martinez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2647 Annapolis Cir
San Bernardino, CA 92408-4133

Phone

(909) 630-8339

NPI assigned

Jun 29, 2022

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

Practice roles

Locations

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.

• Accel Therapies Inc.

  • Behavior Analyst
  • Newport Beach, CA
  • NPI 1033474697
  NPD

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1194457960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 DOVE ST STE 202",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602853",
            "telephone_number": "949-630-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2647 ANNAPOLIS CIR",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924084133",
            "telephone_number": "909-630-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "THERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noemi Meza Martinez
• Prisila Martinez
• Rosemary Martinez, N.P.
• Sandra Martinez
• Steven Martinez
• Thomas Reid Martinez, CMPSS
• Vanessa Martinez
• Vanessa Martinez
• Vivian Martinez
• Vivian Martinez

• All providers in San Bernardino, CA
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.