Martinez Behavior Management Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1-01-0583 Issued in FL

Legal business name

MARTINEZ BEHAVIOR MANAGEMENT SERVICES

Practice address

3723 Gurley Rd
Jacksonville, FL 32277-2012

Phone

(904) 445-9732

NPI assigned

Aug 14, 2014

Organization subpart

No

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

Authorized official

Name

Carolyn E Martinez, BCBA

Title

Chief Executive Officer

Phone

(904) 445-9732

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1700285996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3723 GURLEY RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322772012",
            "telephone_number": "904-445-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3723 GURLEY RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322772012",
            "telephone_number": "904-445-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINEZ BEHAVIOR MANAGEMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "904-445-9732",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "1-01-0583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080966796",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serena Rosemarie Martin, NP
• Stephanie Nichole Martin, RBT
• Sylvie Martin
• Molly Ann Martineau, RDH
• Tayna Camila Martinez Ajuria
• Allahi Zuwanie Martinez Collazo
• Blanca Martinez Hoppe, DMD
• Zahily Martinez Morales
• Danelia Yaoska Martinez Narvaez, DNP
• Linda Alina Martinez Pena

• Community/Behavioral Health Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.