Individual provider Active NPI

Joyce Angelis Quinones Martinez

  • Behavior Technician
  • Killeen, TX
National Provider Identifier
1447923180
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-21-177561 Issued in TX
Practice address
4003 W Stan Schlueter Loop Ste 201
Killeen, TX 76549-6119
Phone
(254) 630-1578
NPI assigned
Jul 28, 2021
Last updated
Jul 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X RBT-21-177561 TX Primary

Addresses

Primary practice location

4003 W Stan Schlueter Loop Ste 201
Killeen, TX 76549-6119

Mailing address

4003 W Stan Schlueter Loop Ste 201
Killeen, TX 76549-6119
Phone (254) 630-1578

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
RBT-21-177561TXMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Ayala's Therapist CurrentSince Jan 1, 2022 Accepting new patients

Locations

4003 W Stan Schlueter Loop
Ste 201
Killeen, TX 76549
Phone (254) 630-1578

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1447923180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4003 W STAN SCHLUETER LOOP STE 201",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765496119",
            "telephone_number": "254-630-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4003 W STAN SCHLUETER LOOP STE 201",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765496119",
            "telephone_number": "254-630-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONES MARTINEZ",
        "first_name": "JOYCE",
        "middle_name": "ANGELIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-21-177561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.