Active NPI
Cody Martinez
- Behavior Analyst
- Vacaville, CA
National Provider Identifier
1477204287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 354 Cernon St
Vacaville, CA 95688-4502 - Phone
- (209) 312-3840
- NPI assigned
- Jan 13, 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 Analyst | 103K00000X | Primary |
Addresses
Primary practice location
354 Cernon St
Vacaville, CA 95688-4502
Mailing address
2010A Harbison Dr Ste 307
Vacaville, CA 95687-3900
Phone (209) 312-3840
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | breana@teachacquirethrive.org |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642032000000",
"number": "1477204287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010A HARBISON DR STE 307",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956873900",
"telephone_number": "209-312-3840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 CERNON ST",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956884502",
"telephone_number": "209-312-3840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "CODY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-13",
"last_updated": "2022-01-13",
"certification_date": "2022-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "breana@teachacquirethrive.org",
"affiliation": "N",
"address_1": "354 Cernon St",
"city": "Vacaville",
"state": "CA",
"country_code": "US",
"postal_code": "956884502",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.