Active NPI
Ashley Martinez
- Behavior Analyst
- Colorado Springs, CO
National Provider Identifier
1306386529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-30997
- Practice address
- 1233 Lake Plaza Dr
Colorado Springs, CO 80906 - Phone
- (970) 388-5089
- NPI assigned
- Mar 7, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalysis Psychologist | 103TP0814X | |||
| Behavior Technician | 106S00000X | |||
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | |||
| Behavior Analyst | 103K00000X | 1-18-30997 | CO | Primary |
Addresses
Primary practice location
1233 Lake Plaza Dr
Colorado Springs, CO 80906
Mailing address
1233 Lake Plaza Dr
Colorado Springs, CO 80906-3557
Phone (719) 888-0609
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529971200000",
"number": "1306386529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1233 LAKE PLAZA DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809063557",
"telephone_number": "719-888-0609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1233 LAKE PLAZA DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80906",
"telephone_number": "970-388-5089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "ASHLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-07",
"last_updated": "2018-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TP0814X",
"taxonomy_group": "",
"desc": "Psychologist, Psychoanalysis",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CO",
"license": "1-18-30997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.