Marissa Makenzie Casamento

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

11602 N 51St St
Tampa, FL 33617-2132

Phone

(813) 438-5391

NPI assigned

Mar 2, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1639826464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10921 MCKINLEY DR # 17302",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336126455",
            "telephone_number": "239-281-6539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11602 N 51ST ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336172132",
            "telephone_number": "813-438-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASAMENTO",
        "first_name": "MARISSA",
        "middle_name": "MAKENZIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Casagrand
• Kili Casale, AU.D.
• Thomas B. Casale, M.D.
• Luke Casals, MD
• Silvia T Casamayor Martinez
• Alexander Thomas Anderson Casanas
• Beata C Casanas, M.D.
• Patricia Casanas, LMHC
• Casanova & Imhoff DMD PA
• Valeria Casanova Madera

• Behavior Technician in Tampa, FL
• Providers in Tampa, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.

Verify at the official NPI Registry.