Individual provider Active NPI

Michelle Ana Martinez

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1245848035
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23-288211 Issued in FL
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

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
RBT-20-121785OtherFLRBT
RBT-23-288211OtherFLBACB 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

LicenseStateTypeSpecialty
RBT-20-121785FLMDBehavior Technician
RBT-23-288211FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Specialty Group LLC CurrentSince Aug 27, 2023 Accepting new patients
Autism Specialty Group LLC CurrentSince Aug 27, 2023 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.

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.

Verify at the official NPI Registry.