Individual provider Active NPI

Rancet Martinez

  • Behavior Technician
  • Hialeah, FL
National Provider Identifier
1225786023
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-18-72366 Issued in FL
Practice address
6707 NW 169TH St Apt A302
Hialeah, FL 33015-4226
Phone
(786) 422-3111
NPI assigned
Mar 11, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X RBT-18-72366 FL
Behavior Technician 106S00000X RBT-18-72366 FL Primary

Addresses

Primary practice location

6707 NW 169TH St Apt A302
Hialeah, FL 33015-4226

Mailing address

6707 NW 169TH St Apt A302
Hialeah, FL 33015-4226
Phone (786) 422-3111

Other identifiers 1

IdentifierTypeStateIssuer
019553200MedicaidFL

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

State licenses

LicenseStateTypeSpecialty
RBT-18-72366FLMDAssistant Behavior Analyst

NPI Registry JSON

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1225786023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6707 NW 169TH ST APT A302",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154226",
            "telephone_number": "786-422-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6707 NW 169TH ST APT A302",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154226",
            "telephone_number": "786-422-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "RANCET",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "RBT-18-72366",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-18-72366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019553200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.