Marena Martinez, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

12025 San Jose Blvd Ste 3
Jacksonville, FL 32223-1639

Phone

(757) 955-0081

NPI assigned

Jun 14, 2016

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

Other names 1

• Marena Crile Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Rivertown Psychiatry, PC

  • Psychiatry Physician
  • Columbus, GA
  • NPI 1023362852
  NPD (past)

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577145600000",
    "number": "1881044584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4957 KENTUCKY DERBY CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322574792",
            "telephone_number": "757-955-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12025 SAN JOSE BLVD STE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322231639",
            "telephone_number": "757-955-0081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4957 Kentucky Derby Ct",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322574792",
            "country_code": "US",
            "telephone_number": "757-955-0081 x75795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9141 Cypress Green Dr",
            "address_2": "Unit 2",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322562013",
            "country_code": "US",
            "telephone_number": "904-647-1849",
            "fax_number": "904-647-2625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MARENA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2019-12-24",
        "certification_date": "2019-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARENA",
            "last_name": "CRILE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly Anne Martinez, LCSW
• Lauren Martinez, RN
• Lizbeth Nancy Martinez
• Luis Angel Martinez
• Marc Andrew Martinez, DO
• Maria Susan Martinez, LCSW
• Marianela Martinez, OT
• Marnia Martinez
• Matthew W Martinez, M.D.
• Michele Lee Martinez, APRN

• Behavior Analyst in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2019; 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.