MICHELLE MARTINEZ


Address: 49 Shirley Ln, New London, CT 06320-2929
Phone: 7576171950

MICHELLE MARTINEZ (NPI# 1881141745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881141745
Entity Type Individual
Full Name MICHELLE MARTINEZ
Credential BCBA
Practice Address 49 Shirley Ln
New London
CT 06320-2929
Practice Telephone 7576171950
Mailing Telephone 7576171950
Enumeration Date 2016-09-07
Last Update Date 2016-09-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst BACB234532 VA Behavioral Health & Social Service Providers

Other Providers MICHELLE MARTINEZ

NPI Name Taxonomy Address Enumeration
1639715030 Michelle Jennifer Martinez Case Manager/Care Coordinator 6838 Sunset Blvd., Hollywood, CA 90028 2019-11-20
1992294573 Michelle Martinez Specialist/Technologist 14171 Nw 87th Ct, Miami Lakes, FL 33018 2018-05-09
1144693953 Michelle Elaine Martinez Peer Specialist 5012 Arlington Ave, Riverside, CA 92504-2710 2015-11-03
1043586985 Michelle Ann Martinez Speech-Language Pathologist 320 E Prospect Ave, Mount Vernon, NY 10553-1014 2012-03-26
1033347539 Michelle Martinez Speech-Language Pathologist 3 Waddell St, North Baldwin, NY 11510-2041 2009-06-24
1407972532 Michelle Martinez Nurse Practitioner 200 West Hospital Road, Whiteriver, AZ 85941-0860 2007-03-21
1437185386 Michelle Lynn Martinez Optometrist 900 W Pipeline Rd, Hurst, TX 76053-4818 2006-06-23
1023622966 Michelle Martinez Registered Nurse 34 Haverhill St, Lawrence, MA 01841-2884 2020-09-08
1356954101 Michelle Angela Martinez Clinic/Center 5901 E 7th St, Long Beach, CA 90822-5201 2020-08-30
1245848035 Michelle Ana Martinez Behavior Technician 7241 Sw 63rd Ave Ste 101a, South Miami, FL 33143-4838 2020-07-17

Office Location

Street Address 49 SHIRLEY LN
City NEW LONDON
State CT
Zip Code 06320-2929

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942824891 Shilpi Jain Physical Therapist 31 Vauxhall Street, Beechwood Post Accute, Transitional, New London, CT 06320 2020-06-05
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1043668320 Cultivate & Grow Inc. Counselor 302 State St Suite 307, New London, CT 06320 2016-05-27
1295137263 Jacqueline Durnell Registered Nurse 15 Mohegan Drive, Us Coast Guard Academy Regional Clinic, New London, CT 06320 2014-09-22
1922427541 Corina Vendetto Registered Nurse 245 Shaw St., New London, CT 06320 2014-04-10
1912329962 Janelle Posey-green Social Worker 302 State St., Suite 201, New London, CT 06320 2014-01-10
1750622692 Cynthia Mitchell Social Worker 65b Michael Rd, New London, CT 06320 2013-03-01
1518254507 Simon J Shapiro Physical Medicine & Rehabilitation 190 Howard Avenue, New London, CT 06320 2011-06-29
1184876708 Jane P Genido-trujillo Nurse Practitioner 270 Mohegan Ave., Student Health Services, New London, CT 06320 2008-10-14
1932356284 Gerard Joseph Ventura Dentist 21 Montauk Ave., Suite 102, New London, CT 06320 2008-08-19
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619491438 Adriana Sandra Fox Behavioral Analyst 165 State St Ste 208, New London, CT 06320-6304 2017-08-02
1467726976 Katherine Jo Saint Behavioral Analyst 214 E Millard St, New London, WI 54961-1855 2012-03-01

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1669088829 Naiesha A Jean-claude Behavioral Analyst 67 Yale St, Stratford, CT 06615-6363 2020-09-22
1356957617 Kristen E Walsh Behavioral Analyst 80 New St, Ridgefield, CT 06877-3822 2020-09-21
1023624855 Annika Simmons Behavioral Analyst 878 Silver Street, Coventry, Ct, Usa, Coventry, CT 06238 2020-09-17
1487260337 Chileshe Chisanga Behavioral Analyst 32c Wall St, Madison, CT 06443-3100 2020-09-16
1912512252 Sarah Howard Behavioral Analyst 56 Horace St, Stratford, CT 06614-4225 2020-09-14
1093320582 Kristin Rhea Fortier Behavioral Analyst 9 Pollack Rd, Mansfield Center, CT 06250-1625 2020-09-10
1063027753 Amanda Imbriglio Behavioral Analyst 37 Mechanic St Fl 2, Pawcatuck, CT 06379-2133 2020-09-10
1356956221 Lindsay A Yanke Behavioral Analyst 34 Lilley Rd, West Hartford, CT 06119-1333 2020-09-09
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Competitor

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City NEW LONDON
Zip Code 06320

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Dataset Information

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.

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