Individual provider Active NPI

Cassie Martine Ziesk, BCBA

  • Behavior Analyst
  • West Melbourne, FL
National Provider Identifier
1144627357
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-37878 Issued in FL
Practice address
1912 Dairy Rd
West Melbourne, FL 32904-4046
Phone
(321) 537-8467
NPI assigned
Dec 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-15-04647 FL
Behavior Analyst 103K00000X 1-19-37878 FL Primary

Addresses

Primary practice location

1912 Dairy Rd
West Melbourne, FL 32904-4046

Mailing address

2502 Saint Johns LN
Melbourne, FL 32935-3636
Phone (321) 537-8467

Other identifiers 1

IdentifierTypeStateIssuer
RBT-15-04647OtherFLRBT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RBT-15-04647FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Steps ABA LLC Behavior Analyst CurrentSince Feb 27, 2022 Accepting new patients
The Sonder Academy Behavior Analyst Past Accepting new patients

Locations

1912 Dairy Rd
West Melbourne, FL 32904
Phone (321) 413-3366

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1144627357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 SAINT JOHNS LN",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353636",
            "telephone_number": "321-537-8467",
            "fax_number": "321-306-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 DAIRY RD",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329044046",
            "telephone_number": "321-537-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIESK",
        "first_name": "CASSIE",
        "middle_name": "MARTINE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-15-04647",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-19-37878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RBT",
            "identifier": "RBT-15-04647",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.