Individual provider Active NPI

Marta Martin Jimenez

  • Behavior Technician
  • Boynton Beach, FL
National Provider Identifier
1710601810
Registry record updated Apr 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-22-221122 Issued in FL
Practice address
4793 N Congress Ave Ste 203
Boynton Beach, FL 33426-7937
Phone
(561) 429-3863
Fax
(561) 448-6063
NPI assigned
Oct 3, 2022
Last updated
Apr 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-22-221122 FL Primary

Addresses

Primary practice location

4793 N Congress Ave Ste 203
Boynton Beach, FL 33426-7937

Mailing address

11613 52ND Rd N
West Palm Beach, FL 33411-9038
Phone (786) 523-1404

Other practice location 1

6145 Lake Worth Rd
Greenacres, FL 33463-3001
Phone (561) 421-0047

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

LicenseStateTypeSpecialty
RBT-22-221122FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Elements Pediatric Therapy Inc. CurrentSince Oct 9, 2022 Accepting new patients
Square One Behavioral Services Inc. Single Specialty CurrentSince Oct 9, 2022 Accepting new patients
Team Behavior LLC Single Specialty PastSince Jun 25, 2023 Accepting new patients

Locations

1495 Forest Hill Blvd
Ste C3
West Palm Beach, FL 33406
Phone (561) 568-9367

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777075200000",
    "number": "1710601810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11613 52ND RD N",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334119038",
            "telephone_number": "786-523-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4793 N CONGRESS AVE STE 203",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334267937",
            "telephone_number": "561-429-3863",
            "fax_number": "561-448-6063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6145 Lake Worth Rd",
            "address_purpose": "LOCATION",
            "city": "Greenacres",
            "state": "FL",
            "postal_code": "334633001",
            "country_code": "US",
            "telephone_number": "561-421-0047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN JIMENEZ",
        "first_name": "MARTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2026-04-25",
        "certification_date": "2026-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-22-221122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2026; 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.