Active NPI
Cassie Martine Ziesk, BCBA
- Behavior Analyst
- West Melbourne, FL
National Provider Identifier
1144627357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-37878
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-15-04647 | Other | FL | RBT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-15-04647 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Steps ABA LLC | Behavior Analyst | Current | 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.
-
- Behavior Analyst
- West Melbourne, FL
- NPI 1780201269
-
- Behavior Analyst
- Melbourne, FL
- NPI 1023549680
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.