Active NPI
Melissa Grace Martin, BCBA
- Behavior Analyst
- Denver, CO
National Provider Identifier
1811632052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BACB546233
- Practice address
- 6000 E Evans Ave Ste 1-400
Denver, CO 80222-5415 - Phone
- (720) 646-1365
- NPI assigned
- May 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-19-108477 | CO | |
| Behavior Analyst | 103K00000X | BACB546233 | CO | Primary |
Addresses
Primary practice location
6000 E Evans Ave Ste 1-400
Denver, CO 80222-5415
Mailing address
6000 E Evans Ave Ste 1-400
Denver, CO 80222-5415
Phone (720) 646-1365
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58474552 | Medicaid | CO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmartin@bendingbirchbehavioral.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| BACB546233 | CO | MD | Behavioral Analyst |
| RBT-19-108477 | CO | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667174400000",
"number": "1811632052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 E EVANS AVE STE 1-400",
"city": "DENVER",
"state": "CO",
"postal_code": "802225415",
"telephone_number": "720-646-1365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 E EVANS AVE STE 1-400",
"city": "DENVER",
"state": "CO",
"postal_code": "802225415",
"telephone_number": "720-646-1365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "MELISSA",
"middle_name": "GRACE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-02",
"last_updated": "2022-10-31",
"certification_date": "2022-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CO",
"license": "RBT-19-108477",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CO",
"license": "BACB546233",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "58474552",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmartin@bendingbirchbehavioral.com",
"affiliation": "N",
"endpointDescription": "Work Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Work Address",
"address_1": "6000 E Evans Ave",
"city": "Denver",
"state": "CO",
"country_code": "US",
"postal_code": "802225406",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.