Alyssa Martinez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-24-359014 Issued in GA

Practice address

450 Franklin Gtwy SE
Marietta, GA 30067-7749

Phone

(470) 588-8484

Fax

(855) 915-0244

NPI assigned

Sep 16, 2024

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Locations

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.

• Circle City ABA of Georgia LLC

  • Behavior Analyst
  • Marietta, GA
  • NPI 1811681091
  NPD

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1811724818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 DALLAS HWY SW STE 202",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300647505",
            "telephone_number": "470-588-8484",
            "fax_number": "855-915-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 FRANKLIN GTWY SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300677749",
            "telephone_number": "470-588-8484",
            "fax_number": "855-915-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ALYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT-24-359014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Douglas Martin, DMD
• Shannon Martin, D.C.
• Stephen Mitchell Martin, M.D.
• Thomas Logan Martin, MD
• Tiffany T Martin
• Daniceli Martinez, M.D.
• Kennedy Martinez, RBT
• Manuel Martinez
• Megan Martinez, PT
• Melissa Monica Martinez, D.O

• Behavior Technician in Marietta, GA
• Providers in Marietta, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.