Active NPI
Cismary Cossio de Casas, BS
- Behavior Analyst
- Pembroke Pines, FL
National Provider Identifier
1700545118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-65395
- Practice address
- 11591 SW 10TH St
Pembroke Pines, FL 33025-4326 - Phone
- (786) 399-8071
- NPI assigned
- Dec 13, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-23-65395 | FL | Primary |
Addresses
Primary practice location
11591 SW 10TH St
Pembroke Pines, FL 33025-4326
Mailing address
11591 SW 10TH St
Pembroke Pines, FL 33025-4326
Phone (786) 399-8071
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
- Credentials
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683072000000",
"number": "1700545118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11591 SW 10TH ST",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330254326",
"telephone_number": "786-399-8071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11591 SW 10TH ST",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330254326",
"telephone_number": "786-399-8071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSSIO DE CASAS",
"first_name": "CISMARY",
"credential": "BS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-13",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-23-65395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.