Individual provider Active NPI

Maite Isasi

  • Behavior Analyst
  • West Palm Beach, FL
National Provider Identifier
1255073524
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
12580678 Issued in FL
Practice address
1495 Forest Hill Blvd Ste C3
West Palm Beach, FL 33406-6073
Phone
(561) 568-9367
NPI assigned
Apr 8, 2022
Last updated
May 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 12580678 FL Primary

Addresses

Primary practice location

1495 Forest Hill Blvd Ste C3
West Palm Beach, FL 33406-6073

Mailing address

1409 Caribbean Rd E
Lake Clarke Shores, FL 33406-7811

Other practice location 1

4203 SW High Meadows Ave
Palm City, FL 34990-3726
Phone (772) 222-5560

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
12580678FLMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Treasure Coast ABA Services Behavior Technician PastSince Sep 20, 2022 Accepting new patients
Square One Behavioral Services Inc. PastSince Jan 29, 2023 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1255073524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 CARIBBEAN RD E",
            "city": "LAKE CLARKE SHORES",
            "state": "FL",
            "postal_code": "334067811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 FOREST HILL BLVD STE C3",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334066073",
            "telephone_number": "561-568-9367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4203 SW High Meadows Ave",
            "address_purpose": "LOCATION",
            "city": "Palm City",
            "state": "FL",
            "postal_code": "349903726",
            "country_code": "US",
            "telephone_number": "772-222-5560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISASI",
        "first_name": "MAITE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-08",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "12580678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.