Individual provider Active NPI

Marisa Ann Weissberger

  • Assistant Behavior Analyst
  • Cutler Bay, FL
National Provider Identifier
1952809840
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0-19-10663 Issued in FL
Practice address
21449 SW 85TH Ave
Cutler Bay, FL 33189-7304
Phone
(561) 762-7430
NPI assigned
Jan 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Assistant Behavior Analyst 106E00000X 0-19-10663 FL Primary

Addresses

Primary practice location

21449 SW 85TH Ave
Cutler Bay, FL 33189-7304

Mailing address

21449 SW 85TH Ave
Cutler Bay, FL 33189-7304
Phone (561) 762-7430

Other practice location 1

13318 SW 114th Pl
Miami, FL 33176-5359
Phone (561) 762-7430

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Behavior Health Group LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1952809840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21449 SW 85TH AVE",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331897304",
            "telephone_number": "561-762-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21449 SW 85TH AVE",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331897304",
            "telephone_number": "561-762-7430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13318 SW 114th Pl",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331765359",
            "country_code": "US",
            "telephone_number": "561-762-7430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISSBERGER",
        "first_name": "MARISA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-19-10663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.