Individual provider Active NPI

Elyana Lucia Martinez, BCBA, LBA

  • Behavior Analyst
  • El Paso, TX
National Provider Identifier
1316604846
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
4372 Issued in TX
Practice address
1393 George Dieter Dr Ste a
El Paso, TX 79936-7410
Phone
(915) 257-5782
NPI assigned
Nov 18, 2021
Last updated
Feb 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 4372 TX Primary

Addresses

Primary practice location

1393 George Dieter Dr Ste a
El Paso, TX 79936-7410

Mailing address

1031 Callisto CT
El Paso, TX 79927-4299
Phone (915) 216-4744

Other practice location 1

221 N Kansas St Ste 700
El Paso, TX 79901-1443
Phone (915) 216-4744

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL elymartinez@teampbs.com

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
4372TXMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1316604846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 CALLISTO CT",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799274299",
            "telephone_number": "915-216-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1393 GEORGE DIETER DR STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367410",
            "telephone_number": "915-257-5782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 N Kansas St Ste 700",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799011443",
            "country_code": "US",
            "telephone_number": "915-216-4744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ELYANA",
        "middle_name": "LUCIA",
        "credential": "BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "4372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "elymartinez@teampbs.com",
            "affiliation": "N",
            "address_1": "221 N Kansas St Ste 700",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799011443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.