Reginald Daniel Martin Jr.

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

69930 Highway 111
Rancho Mirage, CA 92270-2850

Phone

(992) 760-3039

NPI assigned

Apr 19, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1366185050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69375 NILDA DR",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922347027",
            "telephone_number": "310-904-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69930 HIGHWAY 111",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702850",
            "telephone_number": "992-760-3039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44105 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Indio",
            "state": "CA",
            "postal_code": "922013280",
            "country_code": "US",
            "telephone_number": "909-755-5220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "81077 Indio Blvd",
            "address_purpose": "LOCATION",
            "city": "Indio",
            "state": "CA",
            "postal_code": "922018366",
            "country_code": "US",
            "telephone_number": "760-441-0044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "REGINALD",
        "middle_name": "DANIEL",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-19",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth O. Marquart, M.D.
• Jose I. Marquez, M.D.
• Martesia A Marshall, DDS
• Vahe Grigor Martikian, MD
• Reg'Shon Nathaniel Martin
• Kelvin Martinez Garcia, MD
• Gisselle Martinez Vizcaya
• Araceli Martinez
• Jorge Alejandro Martinez, LCSW, MSW
• Monsetrrat Martinez

• Behavior Technician in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.