Michelle Dezman

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

475 S John Rodes Blvd
Melbourne, FL 32904-1093

Phone

(321) 241-1170

Fax

(321) 241-1171

NPI assigned

Jun 14, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 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 and National Provider Directory roles.

• Paloma Academy Inc

  • Behavior Analyst
  • Melbourne, FL
  • NPI 1336788611
  NPD (past)
• The Sonder Academy

  • Behavior Analyst
  • Melbourne, FL
  • NPI 1023549680
  NPD (past)

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1801326657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 S JOHN RODES BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329041093",
            "telephone_number": "321-241-1170",
            "fax_number": "321-241-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 S JOHN RODES BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329041093",
            "telephone_number": "321-241-1170",
            "fax_number": "321-241-1171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1855 W Hibiscus Blvd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329012622",
            "country_code": "US",
            "telephone_number": "321-265-4409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEZMAN",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "17-35578",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021302900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Devoe, LCSW
• Marianne Elizabeth Devore, PHARMD
• Akriti Dewanwala, MD
• Jamie Dewitt, BCBA
• Kristin Dezen, PHD
• Anita A Dhople, MD
• Nikhita Dhruv, MD
• Diagnostic and Clinical Care Services Inc
• Diana G Masker and Associates Inc
• Diana G. Masker, M.a., CCC

• Behavior Analyst in Melbourne, FL
• Providers in Melbourne, 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 19, 2021; 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.