Michaelyn Anessa Martinez
Behavior Technician in Phoenix, AZ. Individual provider (NPI-1).
NPI number1639028673
StatusActive
Last updated in NPPESJan 23, 2026
Details
- NPI
- 1639028673
- Entity type
- Individual (NPI-1)
- Name
- Michaelyn Anessa Martinez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 23, 2026
- Certification date
- Jan 23, 2026
- Last updated
- Jan 23, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
4170 N 108th AvePhoenix, AZ 85037-5469
Phone 866-610-0580 · Fax 866-611-1558
Mailing address
7500 San Felipe St Ste 990Houston, TX 77063-1708
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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