Active NPI
Gianmaris Nadiushka Concepcion Martinez
- Behavior Technician
- Kissimmee, FL
National Provider Identifier
1952143349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-351126
- Practice address
- 102 Park Place Blvd Ste C1
Kissimmee, FL 34741-2358 - Phone
- (407) 385-0728
- NPI assigned
- Jun 7, 2024
- Last updated
- Jun 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-351126 | FL | Primary |
Addresses
Primary practice location
102 Park Place Blvd Ste C1
Kissimmee, FL 34741-2358
Mailing address
2830 Harmonia Hammock Rd
Harmony, FL 34773-6134
Phone (959) 999-1477
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-351126 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718755200000",
"number": "1952143349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2830 HARMONIA HAMMOCK RD",
"city": "HARMONY",
"state": "FL",
"postal_code": "347736134",
"telephone_number": "959-999-1477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 PARK PLACE BLVD STE C1",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347412358",
"telephone_number": "407-385-0728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONCEPCION MARTINEZ",
"first_name": "GIANMARIS",
"middle_name": "NADIUSHKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-07",
"last_updated": "2024-06-19",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-24-351126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
- Lyndy A Compas-Orange, M.A
- Compassionate Care Sanctuary LLC
- Complete Health Physicians Associates, Inc. (Kissimmee Family Wellness Center and Winter Park Family Wellness Cente)
- Comprehensive Cardiovascular Services
- Comprehensive Health X2
- Concierge Care of Central FL, LLC (Concierge Care)
- Concord Counseling Center LLC
- Luis Conde, BSW
- Marissa Michelle Conde, MD
- Conficare Home Health Solutions, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.