Martavius Underwood, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2401 Windy Hill Rd SE Apt 1763F
Marietta, GA 30067-8529

Phone

(706) 239-9588

NPI assigned

Nov 15, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Zoe Center for ABA and Development Services, LLC

  • Behavior Analyst
  • Columbus, GA
  • NPI 1518469220
  NPD

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1215645643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 13TH ST STE D",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 WINDY HILL RD SE APT 1763F",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678529",
            "telephone_number": "706-239-9588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 13th St Ste D",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319012246",
            "country_code": "US",
            "telephone_number": "706-780-1704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "MARTAVIUS",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-15",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "22242911",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brie Ulrich, MASTER HEALTH COACH
• Deborah Aniekan Umoh
• Rekha Umoh, DNP
• Allyson Joy Underwood, FNP-BC
• Darian L. Underwood, OT
• Robert A. Underwood, M.D.
• Unfolding Evolution Healthcare
• Michael Thomas Unger, M.D.
• Sonia A Unigwe, NP
• Unihealth Solutions of North Georgia, Inc.

• Behavior Technician in Marietta, GA
• Providers in Marietta, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.