Individual provider Active NPI

Marthaly Iglesias Martinez

  • Behavior Technician
  • Port Saint Lucie, FL
National Provider Identifier
1780454660
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
23-318165 Issued in FL
Practice address
1801 SE Hillmoor Dr Ste B101-103
Port Saint Lucie, FL 34952-7553
Phone
(772) 463-0444
NPI assigned
Jan 3, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 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 23-318165 FL Primary

Addresses

Primary practice location

1801 SE Hillmoor Dr Ste B101-103
Port Saint Lucie, FL 34952-7553

Mailing address

582 SW Badger Ter
Port Saint Lucie, FL 34953-2909
Phone (772) 867-4727

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
23-318165FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Basics, Incorporated CurrentSince Jan 7, 2024 Accepting new patients
Behavior Basics, Incorporated CurrentSince Jan 7, 2024 Accepting new patients

Locations

1801 SE Hillmoor Dr
Ste B101103
Port St Lucie, FL 34952
Phone (321) 425-3231

1887 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (786) 259-5333

Organizations & group practices 2

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": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1780454660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 SW BADGER TER",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349532909",
            "telephone_number": "772-867-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SE HILLMOOR DR STE B101-103",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527553",
            "telephone_number": "772-463-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGLESIAS MARTINEZ",
        "first_name": "MARTHALY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-03",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "23-318165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.