Marissa Cutaia, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

12151552 Issued in FL

Practice address

1060 W State Road 434 Ste 108
Longwood, FL 32750-4953

Phone

(407) 324-7772

NPI assigned

Jul 22, 2021

Last updated

Jul 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blue Path ABA

  dba Applied Behavior Center

  • Behavior Analyst
  • Longwood, FL
  • NPI 1891950671
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1063085595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 CLEMATIS LN",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922321",
            "telephone_number": "561-389-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 W STATE ROAD 434 STE 108",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504953",
            "telephone_number": "407-324-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTAIA",
        "first_name": "MARISSA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "12151552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA",
            "identifier": "12151552",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jana Erika Cua, M.D., M.S.
• Shea Cullen
• Patricia Elizabeth Cummings, PMHNP-BC
• Virginia Curbelo, LMHC, CAP
• Rosana Curet-Millayes, MSW, RCSWI
• Cynthia a. Kaleita, LMHC, LLC
• Cynthia H. Jenkins (PRN Speech Pathologists)
• Charles William D'Aiuto, DDS
• D5D Billing Services
• Anya Da Costa Silva, BCBA

• Behavior Analyst in Longwood, FL
• Providers in Longwood, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.