Individual provider Active NPI

Ebony Martinez

  • Behavior Technician
  • Springfield, IL
National Provider Identifier
1942996335
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-25-436032 Issued in IL
Practice address
614 N 6TH St Ste B
Springfield, IL 62702-5314
Phone
(217) 960-0530
NPI assigned
Apr 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Technician 106S00000X RBT-25-436032 IL Primary

Addresses

Primary practice location

614 N 6TH St Ste B
Springfield, IL 62702-5314

Mailing address

614 N 6TH St Ste B
Springfield, IL 62702-5314
Phone (217) 960-0530

Other practice location 1

121 E 2nd St
Beardstown, IL 62618-1263
Phone (217) 323-2980

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

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1942996335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 N 6TH ST STE B",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627025314",
            "telephone_number": "217-960-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 N 6TH ST STE B",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627025314",
            "telephone_number": "217-960-0530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Beardstown",
            "state": "IL",
            "postal_code": "626181263",
            "country_code": "US",
            "telephone_number": "217-323-2980",
            "fax_number": "217-323-3731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "EBONY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "RBT-25-436032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.