Kassi Jean Block, MA, BCBA
Individual provider Active NPI Behavior Analyst · New Smyrna Beach, FL
NPI 1043719677 · NPPES record last updated Jul 17, 2023
Key facts
- NPI
- 1043719677
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 140 Wallace Rd
New Smyrna Beach, FL 32168-8069 - Phone
- (904) 544-5863
- NPI assigned
- Feb 9, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
140 Wallace Rd
New Smyrna Beach, FL 32168-8069
Mailing address
3323 Bellino Blvd
New Smyrna Beach, FL 32168-0009
Phone (219) 928-0758
Other providers in New Smyrna Beach, FL
- Satwinder Kaur Bindra
- Rebecca Bird
- Lisa Breaux Black
- Suzanne Blandi
- Louis Charles Blaum III
- Blue Ocean Deramtology LLC
- Blue Water Therapy Inc
- Aubrei Blumberg
- Jhonny Andres Bonilla Villarreal
- Priscilla Borden
All providers in New Smyrna Beach, FL · Behavior Analyst in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.