Active NPI
Ryan Andrea Martinez, BCBA
- Behavior Analyst
- Colorado Springs, CO
National Provider Identifier
1467921007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-47514
- Practice address
- 11681 Voyager Pkwy
Colorado Springs, CO 80921-3861 - Phone
- (719) 344-9342
- NPI assigned
- Nov 13, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-16-15834 | CO | |
| Behavior Analyst | 103K00000X | 1-21-47514 | Primary |
Addresses
Primary practice location
11681 Voyager Pkwy
Colorado Springs, CO 80921-3861
Mailing address
5442 Majestic Dr
Colorado Springs, CO 80919-3540
Phone (214) 732-2497
Other practice location 1
4815 List Dr Ste 107
Colorado Springs, CO 80919-3340
Phone (214) 901-4196
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-16-15834 | CO | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evergrove Therapy LLC | Behavior Analyst | Current | Accepting new patients |
| Bright Behavior, LLC | Behavior Analyst | Past | Accepting new patients |
| Whole Kids Co. PLLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Behavior Analyst
- Colorado Springs, CO
- NPI 1558227173
-
- Behavior Analyst
- Colorado Springs, CO
- NPI 1841712809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622592000000",
"number": "1467921007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5442 MAJESTIC DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809193540",
"telephone_number": "214-732-2497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11681 VOYAGER PKWY",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809213861",
"telephone_number": "719-344-9342"
}
],
"practiceLocations": [
{
"address_1": "4815 List Dr Ste 107",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809193340",
"country_code": "US",
"telephone_number": "214-901-4196",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ",
"first_name": "RYAN",
"middle_name": "ANDREA",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-13",
"last_updated": "2021-06-02",
"certification_date": "2021-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CO",
"license": "RBT-16-15834",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-21-47514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.