Deirdre Mary Martinez, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-16-23249 Issued in WA

Practice address

2525 S Wadsworth Blvd Ste 303
Lakewood, CO 80227-3246

Phone

(720) 962-4555

Fax

(720) 962-4466

NPI assigned

Jul 17, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500249600000",
    "number": "1720500234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7313 S JACKSON ST",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801222215",
            "telephone_number": "720-217-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S WADSWORTH BLVD STE 303",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802273246",
            "telephone_number": "720-962-4555",
            "fax_number": "720-962-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "DEIRDRE",
        "middle_name": "MARY",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2017-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "1-16-23249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelina Grace Martinez
• Ashley Kleinman Martinez, MA, RDT, LCAT, LPC
• Cynthia A Martinez
• Cynthia Sue Martinez, M.A.
• David Pedro Martinez, MD
• Domonique Martinez
• Efren Martinez, D.D.S.
• Giovanna Martinez
• Ileana Martinez, RBT
• Julian Matthew Martinez

• Behavior Analyst in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Behavior Analyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2017; 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.