Active NPI
Michelle Ana Martinez
- Behavior Technician
- Miami, FL
National Provider Identifier
1245848035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-288211
- Practice address
- 144 NW 37TH St
Miami, FL 33127-3111 - Phone
- (305) 767-1924
- NPI assigned
- Jul 17, 2020
- Sex
- Female
- Sole proprietor
- No
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 | RBT-20-121785 | FL | |
| Behavior Technician | 106S00000X | RBT-23-288211 | FL | Primary |
Addresses
Primary practice location
144 NW 37TH St
Miami, FL 33127-3111
Mailing address
5560 W 21St CT Apt 109
Hialeah, FL 33016-7064
Phone (786) 340-9976
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-20-121785 | Other | FL | RBT |
| RBT-23-288211 | Other | FL | BACB RBT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-20-121785 | FL | MD | Behavior Technician |
| RBT-23-288211 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Specialty Group LLC | Current | Accepting new patients | |
| Autism Specialty Group LLC | Current | Accepting new patients |
Locations
144 NW 37th St
Miami, FL 33127
Phone (305) 767-1924
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
- Miami, FL
- NPI 1023376217
-
- Developmentally Disabled Services Day Training Agency
- Miami, FL
- NPI 1154060689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1245848035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5560 W 21ST CT APT 109",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330167064",
"telephone_number": "786-340-9976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 NW 37TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331273111",
"telephone_number": "305-767-1924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "MICHELLE",
"middle_name": "ANA",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-17",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-20-121785",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-23-288211",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RBT",
"identifier": "RBT-20-121785",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB RBT",
"identifier": "RBT-23-288211",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.