Christi Lee Brock Martin, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-16-21443

Practice address

10221 Ford Ave Ste 1
Richmond Hill, GA 31324-0259

Phone

(912) 445-6063

Fax

(912) 445-6064

NPI assigned

Aug 29, 2014

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

• Christi Lee Brock Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Hope ABA LLC

  • Behavior Analyst
  • Richmond Hill, GA
  • NPI 1124657457
  NPD Authorized official

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1972903698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10221 FORD AVE STE 1",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313240259",
            "telephone_number": "912-445-6063",
            "fax_number": "912-445-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10221 FORD AVE STE 1",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313240259",
            "telephone_number": "912-445-6063",
            "fax_number": "912-445-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CHRISTI",
        "middle_name": "LEE BROCK",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-29",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-16-21443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTI",
            "last_name": "BROCK",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Malone, APRN
• Alyssa Darlene Manina
• Lauren Mansfield, DPT
• Elizabeth Lorraine Marcus, LCSW
• Joseph Francisco Martell
• Cordelia A Martin
• Tiara Ragine Martin, RBT
• Manuela Mata
• Briana Mathis
• Chelsea McBride, RBT

• Behavior Analyst in Richmond Hill, GA
• Providers in Richmond Hill, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.