Gwen Stephanie Martinez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-24-354493

Practice address

11347 SW 5TH Ter
Miami, FL 33174-1165

Phone

(786) 953-3222

NPI assigned

Sep 25, 2024

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Targeted Case Management of Florida, Inc

  • Behavior Analyst
  • Miami Lakes, FL
  • NPI 1891295515
  NPD (past)

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1396562872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11347 SW 5TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741165",
            "telephone_number": "786-953-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11347 SW 5TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741165",
            "telephone_number": "786-953-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "GWEN",
        "middle_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-24-354493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gladys Noemi Martinez
• Greisy Martinez, RN
• Gretchyn Martinez, BS
• Grettel Martinez, PSY.D
• Gustavo Martinez, P.A.
• Heidy C Martinez
• Helmuth Ivan Martinez, SA-C
• Herllen Martinez, NA
• Humberto Martinez
• Humberto O Martinez, MD

• Behavior Technician in Miami, FL
• Providers in Miami, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.