Healthcare Provider Details

I. General information

NPI: 1396246435
Provider Name (Legal Business Name): CATHERINE EMILY MARTINS BCBA, LABA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2018
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1649 61ST ST STE 3013
BROOKLYN NY
11204-2746
US

IV. Provider business mailing address

35 ELBERT RD
AGAWAM MA
01001-3201
US

V. Phone/Fax

Practice location:
  • Phone: 413-237-9314
  • Fax:
Mailing address:
  • Phone: 413-237-9314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: