Individual provider Active NPI

Mayda Martinez, BEHAVIOR TECHNICIAN

  • Assistant Behavior Analyst
  • Homestead, FL
National Provider Identifier
1750652145
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
Practice address
1495 SE 25TH Ter
Homestead, FL 33035-2175
Phone
(786) 352-1568
NPI assigned
Jan 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X
Assistant Behavior Analyst 106E00000X Primary

Addresses

Primary practice location

1495 SE 25TH Ter
Homestead, FL 33035-2175

Mailing address

1495 SE 25TH Ter
Homestead, FL 33035-2175
Phone (786) 352-1568

Other practice location 1

Carr #3 Km. 158.4
Salinas, PR 00751
Phone (787) 648-5377

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mayda Martinez Eyewear Supplier Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1750652145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 SE 25TH TER",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330352175",
            "telephone_number": "786-352-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 SE 25TH TER",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330352175",
            "telephone_number": "786-352-1568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carr #3 Km. 158.4",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "PR",
            "postal_code": "00751",
            "country_code": "US",
            "telephone_number": "787-648-5377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MAYDA",
        "credential": "BEHAVIOR TECHNICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.