Active NPI
Alyssa Martinez
- Behavior Analyst
- Stuart, FL
National Provider Identifier
1205216710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 821 SE Ocean Blvd Ste B&C
Stuart, FL 34994-2456 - Phone
- (772) 872-6940
- NPI assigned
- Jun 1, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | FL | ||
| Behavior Analyst | 103K00000X | GA | Primary |
Addresses
Primary practice location
821 SE Ocean Blvd Ste B&C
Stuart, FL 34994-2456
Mailing address
523 Pantertown Cir
Mineral Bluff, GA 30559-2016
Phone (772) 800-8594
Other practice location 1
4575 SE Dixie Hwy
Stuart, FL 34997-6826
Phone (855) 832-6727
Other practice location 2
1765 SW Captains Pl
Palm City, FL 34990-1747
Phone (772) 266-8727
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Favorite Therapists, LLC | Behavior Analyst | Past | Accepting new patients |
| Simplyaba, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Behavior Analyst
- Deerfield Beach, FL
- NPI 1992153217
-
- Behavior Analyst
- Palm City, FL
- NPI 1306244801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732579200000",
"number": "1205216710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "523 PANTERTOWN CIR",
"city": "MINERAL BLUFF",
"state": "GA",
"postal_code": "305592016",
"telephone_number": "772-800-8594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 SE OCEAN BLVD STE B&C",
"city": "STUART",
"state": "FL",
"postal_code": "349942456",
"telephone_number": "772-872-6940"
}
],
"practiceLocations": [
{
"address_1": "4575 SE Dixie Hwy",
"address_purpose": "LOCATION",
"city": "Stuart",
"state": "FL",
"postal_code": "349976826",
"country_code": "US",
"telephone_number": "855-832-6727",
"fax_number": "772-675-9100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1765 SW Captains Pl",
"address_purpose": "LOCATION",
"city": "Palm City",
"state": "FL",
"postal_code": "349901747",
"country_code": "US",
"telephone_number": "772-266-8727",
"fax_number": "772-494-7093",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ",
"first_name": "ALYSSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-01",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.