Corneisha Blissett

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1398 SW 160TH Ave Ste 401
Sunrise, FL 33326-1905

Phone

(855) 444-5664

NPI assigned

Feb 4, 2025

Last updated

Feb 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Applied Behavioral Strategies, LLC

  dba Cultivate Behavioral Health and Education

  • Behavior Analyst
  • Fairfield, CT
  • NPI 1396048583
  NPD (past)

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1295549798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 NE 8TH TER",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330646462",
            "telephone_number": "229-488-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1398 SW 160TH AVE STE 401",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333261905",
            "telephone_number": "855-444-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLISSETT",
        "first_name": "CORNEISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "5894",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "LA",
            "license": "1234",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "AL",
            "license": "987456A",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "securerecords.sanford.html",
            "affiliation": "N",
            "address_1": "9970 Central Park Blvd N Ste 401",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334282252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ludwig Blake
• Lenette Blanco, ARNP
• Stephen H. Blanton, CRNA
• Emily Rose Bleeker
• Blessing Hearts Learning & Behavioral Center LLC (Blessing Hearts LLC)
• David Blum, CRNA
• Mark Blum, DDS
• Michael Boas, PMHNP
• Boca Speech Center
• Neal M. Bodner, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.