Individual provider Active NPI

Maire Rose Decioccio

  • Behavior Analyst
  • Melbourne, FL
National Provider Identifier
1497348809
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2334 Issued in NC
Practice address
1435 Aurora Rd
Melbourne, FL 32935-5315
Phone
(321) 541-1970
NPI assigned
Feb 17, 2021
Last updated
Sep 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-23-69004 FL
Behavior Analyst 103K00000X 2334 NC Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

1435 Aurora Rd
Melbourne, FL 32935-5315

Mailing address

773 S Orlando Ave
Cocoa Beach, FL 32931-2521
Phone (321) 978-9131

Other practice location 1

200 W 34Th Ave
PMB-244
Anchorage, AK 99503-3969
Phone (855) 832-6727

Other practice location 2

16 2nd St NW
Hickory, NC 28601-6105
Phone (828) 358-0976

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
2334NCMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehab LLC Behavior Analyst Past Accepting new patients
Behavior Services of Brevard, Inc. Behavior Analyst PastSince Feb 1, 2021 Accepting new patients
Behavior Services of Brevard County Behavior Analyst PastSince Feb 1, 2021 Accepting new patients
Complete Rehabilitation and Sports Physical Therapy, PC Past Accepting new patients

Organizations & group practices 4

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": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1497348809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "773 S ORLANDO AVE",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329312521",
            "telephone_number": "321-978-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 AURORA RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355315",
            "telephone_number": "321-541-1970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 W 34Th Ave",
            "address_2": "PMB-244",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995033969",
            "country_code": "US",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 2nd St NW",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286016105",
            "country_code": "US",
            "telephone_number": "828-358-0976",
            "fax_number": "828-838-1057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECIOCCIO",
        "first_name": "MAIRE",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-23-69004",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "2334",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.