Cenaya Martin

Individual provider Active NPI Behavior Technician · Stanton, CA

NPI 1992361869 · NPPES record last updated May 15, 2019

Key facts

NPI
1992361869
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
12235 Beach Blvd Ste 100
Stanton, CA 90680-3943
Phone
(714) 202-0118
NPI assigned
May 15, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Active Steps Behavior Technician Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

12235 Beach Blvd Ste 100
Stanton, CA 90680-3943

Mailing address

11704 Justine Way
Adelanto, CA 92301-3762
Phone (909) 470-5051

Other providers in Stanton, CA

All providers in Stanton, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.