Ivan Martinez Novoa

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

10367 SW 88TH St Apt E8
Miami, FL 33176-1668

Phone

(786) 350-5879

NPI assigned

Apr 6, 2023

Sex

Male

Sole proprietor

Yes

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

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.

• Awakenings ABA Centers LLC

  • Behavior Analyst
  • Miami, FL
  • NPI 1013605427
  NPD (past)

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1952096984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10367 SW 88TH ST APT E8",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761668",
            "telephone_number": "786-350-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10367 SW 88TH ST APT E8",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761668",
            "telephone_number": "786-350-5879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ NOVOA",
        "first_name": "IVAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raul Martinez Mursuli
• Daniela Martinez Nardo
• Maite De la Caridad Martinez Navarro
• Yarisel Martinez Negrin
• Mairelis Martinez Nodarse
• Alexander Martinez Nualles
• Aimee Martinez Ortega
• Lisandra Martinez Ortega, RBT
• Yansy Martinez Otano
• Jose Carlos Martinez Pacheco

• Behavior Technician in Miami, FL
• Providers in Miami, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.