ANDREA DARLENE MARTIN (NPI# 1528685153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528685153 |
| Entity Type | Individual |
| Full Name | ANDREA DARLENE MARTIN |
| Practice Address |
21 S Park Blvd Ste 21 Greenwood IN 46143-8838 |
| Mailing Address |
3500 Depauw Blvd Ste 3070 Indianapolis IN 46268-6135 |
| Practice Telephone | 3174492104 |
| Practice Fax Number | 3175208200 |
| Mailing Telephone | 8553240885 |
| Mailing Fax Number | 3175208200 |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2020-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-18-60873 | IN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1730449034 | Andrea N Martin | Behavioral Analyst | 4401 Nw 39th St, Oklahoma City, OK 73112-2844 | 2012-05-21 |
| 1841293875 | Andrea Suzanne Martin | Nurse Practitioner | 8144 Walnut Hill Ln, Suite 800, Dallas, TX 75231-4388 | 2005-05-23 |
| 1629626841 | Andrea Mae Martin | Registered Nurse | 105 Adair St, Beckley, WV 25801-3791 | 2019-08-30 |
| 1679012827 | Andrea Bernadette Martin | Registered Nurse | 710 Cypress Creek Pkwy, Houston, TX 77090-3402 | 2017-02-21 |
| 1609318179 | Andrea Martin | Social Worker | 1803 Oregon Pike, Lancaster, PA 17601-6401 | 2016-11-15 |
| 1952761017 | Andrea Martin | Nurse Practitioner | 833 Chestnut St, 1st Floor, Philadelphia, PA 19107-4414 | 2016-03-02 |
| 1003292749 | Andrea Martin | Counselor | 4441 Auburn Blvd Ste E, Sacramento, CA 95841-4139 | 2015-08-05 |
| 1366826935 | Andrea Martin | Behavioral Analyst | 707 Broadway Blvd Ne, Albuquerque, NM 87102-2360 | 2015-07-14 |
| 1386057099 | Andrea Martin | Dental Hygienist | 330 Court St, Eagle River, WI 54521-8362 | 2014-06-10 |
| Street Address |
21 S PARK BLVD STE 21 |
| City | GREENWOOD |
| State | IN |
| Zip Code | 46143-8838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215174016 | Ceil Winn Upchurch | Occupational Therapist | 21 S Park Blvd Ste 21, Greenwood, IN 46143-8838 | 2009-01-15 |
| 1649877572 | Alyssa Mariah Jewel Hernandez | Behavior Technician | 21 S Park Blvd Ste 21, Greenwood, IN 46143-8838 | 2020-10-05 |
| 1528665460 | Rachel Anne Moore | Behavior Technician | 21 S Park Blvd Ste 21, Greenwood, IN 46143-8838 | 2020-10-05 |
| 1891392742 | Karielle Celeste Sheets | Behavior Technician | 21 S Park Blvd Ste 21, Greenwood, IN 46143-8838 | 2020-10-05 |
| 1982201042 | Kyle Allen Correll | Behavior Technician | 21 S Park Blvd Ste 21, Greenwood, IN 46143-8838 | 2020-10-02 |
| 1043817141 | Kiersten Ann Labanauskas | Behavior Technician | 21 S Park Blvd Ste 21, Greenwood, IN 46143-8838 | 2020-10-02 |
| 1023615200 | David Michael Dobson | Behavior Technician | 21 S Park Blvd Ste 21, Greenwood, IN 46143-8838 | 2020-10-01 |
| 1578160750 | Emmaleah Shyanne Dean | Behavior Technician | 21 S Park Blvd Ste 21, Greenwood, IN 46143-8838 | 2020-10-01 |
| 1821695057 | Micaela Rose Weaver | Behavior Technician | 21 S Park Blvd Ste 21, Greenwood, IN 46143-8838 | 2020-10-01 |
| 1760099386 | Emily Jeanne Moore | Behavior Technician | 21 S Park Blvd Ste 21, Greenwood, IN 46143-8838 | 2020-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395299 | Tiffany Smirat | Pharmacist | 882 S Sr 135, Greenwood, IN 46143 | 2020-10-27 |
| 1083250138 | Benajmin Thomas Nyboer | Pharmacist | 5961 North State Road 135, Kroger Pharmacy, Greenwood, IN 46143 | 2019-11-25 |
| 1609417260 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 | 2019-10-04 |
| 1194282525 | Homebased Mental Health Service | Case Management | 2244 Blossom Dr, Greenwood, IN 46143 | 2019-02-21 |
| 1710478078 | Anne E Packard | Pharmacist | 333 E County Line Rd # 101, Greenwood, IN 46143 | 2018-05-22 |
| 1033607924 | Ez Clinic Inc. | Nurse Practitioner | 494 S Emerson Ave Ste I, Greenwood, IN 46143 | 2018-04-25 |
| 1891246633 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 5961 N Sr 135, Greenwood, IN 46143 | 2016-10-17 |
| 1477919637 | Ourhealth Physicians Group, LLC | Clinic/Center | 1273 N Emerson Ave Ste H, Greenwood, IN 46143 | 2016-01-04 |
| 1003212655 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 | 2014-11-10 |
| 1265831366 | Katie D'agosto | Counselor | 3000 S State Road 135 Ste 230, Greenwood, IN 46143 | 2014-08-14 |
| Find all providers in zip 46143 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922638360 | Sara Lengerich | Behavior Technician | 21 S Park Blvd Ste 3070, Greenwood, IN 46143-8838 | 2020-01-24 |
| 1649877572 | Alyssa Mariah Jewel Hernandez | Behavior Technician | 21 S Park Blvd Ste 21, Greenwood, IN 46143-8838 | 2020-10-05 |
| 1528665460 | Rachel Anne Moore | Behavior Technician | 21 S Park Blvd Ste 21, Greenwood, IN 46143-8838 | 2020-10-05 |
| 1891392742 | Karielle Celeste Sheets | Behavior Technician | 21 S Park Blvd Ste 21, Greenwood, IN 46143-8838 | 2020-10-05 |
| 1982201042 | Kyle Allen Correll | Behavior Technician | 21 S Park Blvd Ste 21, Greenwood, IN 46143-8838 | 2020-10-02 |
| 1043817141 | Kiersten Ann Labanauskas | Behavior Technician | 21 S Park Blvd Ste 21, Greenwood, IN 46143-8838 | 2020-10-02 |
| 1023615200 | David Michael Dobson | Behavior Technician | 21 S Park Blvd Ste 21, Greenwood, IN 46143-8838 | 2020-10-01 |
| 1578160750 | Emmaleah Shyanne Dean | Behavior Technician | 21 S Park Blvd Ste 21, Greenwood, IN 46143-8838 | 2020-10-01 |
| 1821695057 | Micaela Rose Weaver | Behavior Technician | 21 S Park Blvd Ste 21, Greenwood, IN 46143-8838 | 2020-10-01 |
| 1760099386 | Emily Jeanne Moore | Behavior Technician | 21 S Park Blvd Ste 21, Greenwood, IN 46143-8838 | 2020-09-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.