Active NPI
Marie Saliah Gousse
- Behavior Analyst
- Miramar, FL
National Provider Identifier
1164061438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-66102
- Practice address
- 7971 Riviera Blvd Ste 402
Miramar, FL 33023-6449 - Phone
- (561) 446-0446
- NPI assigned
- Jan 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | FL | ||
| Behavior Analyst | 103K00000X | 1-23-66102 | FL | Primary |
Addresses
Primary practice location
7971 Riviera Blvd Ste 402
Miramar, FL 33023-6449
Mailing address
2150 SW 67TH Ter
Miramar, FL 33023-2759
Phone (786) 493-2679
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716681600000",
"number": "1164061438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 SW 67TH TER",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330232759",
"telephone_number": "786-493-2679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7971 RIVIERA BLVD STE 402",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330236449",
"telephone_number": "561-446-0446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOUSSE",
"first_name": "MARIE SALIAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-03",
"last_updated": "2024-05-26",
"certification_date": "2024-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-23-66102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.