Veronica Martinez

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

374376 Issued in IL

Practice address

11301 S Harlem Ave
Worth, IL 60482-2001

Phone

(708) 586-2604

NPI assigned

Feb 25, 2021

Sex

Female

Sole proprietor

No

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.

• Asd Life Inc.

  • Multi-Specialty Clinic/Center
  • Worth, IL
  • NPI 1427405745
  NPD
• Autism Behavior Therapy

  • Behavior Analyst
  • Burr Ridge, IL
  • NPI 1649711573
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 25, 2021.

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1831783380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3552 S ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606091317",
            "telephone_number": "773-543-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 S HARLEM AVE",
            "city": "WORTH",
            "state": "IL",
            "postal_code": "604822001",
            "telephone_number": "708-586-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "VERONICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "374376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Octavio Menelao Lopez, M.D.
• Roselin Tojen Lukose
• Joy Maclean
• Scott Maguire
• Jennifer Marshall, LMT
• Hala Mashni, PHARMD
• Sana A Matarieh, L.C.P.C.
• Mbw700
• Lauren Elizabeth McAlister, RBT
• Medicad DME LLC

• All providers in Worth, IL
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.