Individual
CASSIE MARTINE ZIESK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1912 DAIRY RD, WEST MELBOURNE, FL 32904-4046
(321) 537-8467
Mailing address
2502 SAINT JOHNS LN, MELBOURNE, FL 32935-3636
(321) 537-8467
(321) 306-2880
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37878
FL
106S00000X
Behavior Technician
RBT-15-04647
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-15-04647
RBT
FL
Enumeration date
12/03/2014
Last updated
02/24/2022
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