NPIMap

Organization Active NPI

Martin Center for ABA and Behavioral Services, LLC

  • Behavior Analyst
  • Clarksville, TN
National Provider Identifier
1700210192
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-11-9471 Issued in TN
Legal business name
MARTIN CENTER FOR ABA AND BEHAVIORAL SERVICES, LLC
Doing business as
Martin Center, LLC
Practice address
270 Clear Sky Court
Suite C
Clarksville, TN 37043
Phone
(615) 613-1869
Fax
(931) 919-2191
NPI assigned
Aug 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Authorized official

Name
Mr. David G. Martin, BCBANPI 1407250392
Title
Exec. Dir/Owner
Phone
(615) 613-1869

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-11-9471 TN Primary

Addresses

Primary practice location

270 Clear Sky Court
Suite C
Clarksville, TN 37043

Mailing address

1853 Madison Street
Unit 8
Clarksville, TN 37043
Phone (615) 613-1869

Other names 1

  • Martin Center, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

270 Clear Sky CT
Ste C
Clarksville, TN 37043
Phone (615) 613-1869

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1700210192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1853 MADISON STREET",
            "address_2": "UNIT 8",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "37043",
            "telephone_number": "615-613-1869",
            "fax_number": "931-919-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 CLEAR SKY COURT",
            "address_2": "SUITE C",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "37043",
            "telephone_number": "615-613-1869",
            "fax_number": "931-919-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN CENTER FOR ABA AND BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-21",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "EXEC. DIR/OWNER",
        "authorized_official_telephone_number": "615-613-1869",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "1-11-9471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.