Active NPI
Acasia Martinez
- Behavior Technician
- San Antonio, TX
National Provider Identifier
1366166969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-234706
- Practice address
- 11906 Weidner Road
San Antonio, TX 78233 - Phone
- (210) 850-3402
- NPI assigned
- Sep 28, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-234706 | TX | Primary |
Addresses
Primary practice location
11906 Weidner Road
San Antonio, TX 78233
Mailing address
11906 Weidner Road
San Antonio, TX 78233
Phone (210) 850-3402
Other practice location 1
520 Newport center drive suite 550
New port Beach, CA 92660
Phone (855) 673-1771
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-22-234706 | TX | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1366166969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11906 WEIDNER ROAD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78233",
"telephone_number": "210-850-3402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11906 WEIDNER ROAD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78233",
"telephone_number": "210-850-3402"
}
],
"practiceLocations": [
{
"address_1": "520 Newport center drive suite 550",
"address_purpose": "LOCATION",
"city": "New port Beach",
"state": "CA",
"postal_code": "92660",
"country_code": "US",
"telephone_number": "855-673-1771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ",
"first_name": "ACASIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-28",
"last_updated": "2022-09-28",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "RBT-22-234706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.