Christian Atlas Martin, M.A.T., PH.D., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-10-7427 Issued in SC

Practice address

82 N Lake Pointe Dr
Columbia, SC 29229-4335

Phone

(803) 582-9003

Fax

(803) 736-6137

NPI assigned

Nov 22, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1689976854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 N LAKE POINTE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292294335",
            "telephone_number": "803-582-9003",
            "fax_number": "803-736-6137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 N LAKE POINTE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292294335",
            "telephone_number": "803-582-9003",
            "fax_number": "803-736-6137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CHRISTIAN",
        "middle_name": "ATLAS",
        "credential": "M.A.T., PH.D., BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-22",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "SC",
            "license": "1-10-7427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "WP8953",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda K. Martin, SOCIAL WORKER
• Breyon Martin
• Brianna Michelle Martin
• Chantel Renee Martin
• Charlotte Marie Martin, CLC
• Courtney O. Martin, CCC-SLP
• Daniel John Martin, M.D.
• Gina Abbruzzi Martin, MD
• Janet M. Martin, LMT
• Jeffery Scott Martin, MD

• Behavior Analyst in Columbia, SC
• Providers in Columbia, SC by specialty
• Behavior Analyst in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.