Individual provider Active NPI

Guadalupe Martinez-Garcia

  • Behavior Technician
  • Cottonwood Heights, UT
National Provider Identifier
1326726795
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
2540 E Bengal Blvd Ste 300
Cottonwood Heights, UT 84121-5157
Phone
(901) 495-5105
Fax
(801) 495-5106
NPI assigned
Jul 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

2540 E Bengal Blvd Ste 300
Cottonwood Heights, UT 84121-5157

Mailing address

2540 E Bengal Blvd Ste 300
Cottonwood Heights, UT 84121-5157
Phone (901) 495-5105

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mayra@blueautismcenter.com Blue Autism Center

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Autism Center PastSince Jul 9, 2023 Accepting new patients

Organizations & group practices 1

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": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1326726795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 E BENGAL BLVD STE 300",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841215157",
            "telephone_number": "901-495-5105",
            "fax_number": "801-495-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 E BENGAL BLVD STE 300",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841215157",
            "telephone_number": "901-495-5105",
            "fax_number": "801-495-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-GARCIA",
        "first_name": "GUADALUPE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mayra@blueautismcenter.com",
            "affiliation": "Y",
            "affiliationName": "Blue Autism Center",
            "address_1": "2540 E Bengal Blvd Ste 300",
            "city": "Cottonwood Heights",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841215157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cottonwood Heights, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.