MEDICARE: YASHIRA NELLIE MARTINEZ BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-17-34018	FL
2	222Q00000X	Developmental Therapist
3	103K00000X	Behavior Analyst	1-21-53860

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093226128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YASHIRA NELLIE MARTINEZ BCBA

Provider Business Mailing Address
First Line	:	1510 OAK DR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-2816
Country	:	US
Telephone Number	:	239-319-9986
Fax Number	:

Provider Business Practice Location Address
First Line	:	1510 OAK DR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-2816
Country	:	US
Telephone Number	:	239-841-9035
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2017
Last Update Date	:	10/21/2021

Similar Medicare Providers

1255904157 — ROOTS BEHAVIOR, LLC
Practice Location Address:

1510 OAK DR
FORT MYERS, FL
33907-2816

Practice Phone: 239-841-9035
Practice Fax:

1417994948 — AEROCARE HOME MEDICAL EQUIPMENT, INC.
Practice Location Address:

2816 SE LOOP 820
FORT WORTH, TX
76140

Practice Phone: 817-466-8499
Practice Fax: 817-466-8925

1609927474 — MS. CELYNN JAY
Practice Location Address:

7728 SKYLAKE DR
FORT WORTH, TX
76179-2816

Practice Phone: 817-228-7300
Practice Fax:

1154739290 — BARBARA MCNAIR
Practice Location Address:

2816 MILL CROSSING DR
FORT WASHINGTON, MD
20744-2225

Practice Phone: 240-988-6376
Practice Fax:

1184385304 — KARDIA DALEY LGSW, LMSW
Practice Location Address:

13028 CLARION RD
FORT WASHINGTON, MD
20744-2816

Practice Phone: 202-713-5568
Practice Fax:

1558064600 — ANGELENA M HAMZA
Practice Location Address:

2816 PUTNAM ST
FORT WORTH, TX
76112-6516

Practice Phone: 817-791-9897
Practice Fax:

Directions to “ YASHIRA NELLIE MARTINEZ BCBA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.