NPI 1497348809 · live from the CMS NPI Registry
Maire Rose Decioccio
Behavior Analyst in Melbourne, FL. National Provider Identifier 1497348809, active.
NPI record
| NPI | 1497348809 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1435 Aurora Rd, Melbourne, FL 32935 |
| Practice phone | 321-541-1970 |
| Mailing address | 773 S Orlando Ave, Cocoa Beach, FL 32931 |
| Enumerated | February 17, 2021 |
| Last updated | September 10, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | 1-23-69004 (FL) |
| Behavior Analyst primary | 103K00000X | 2334 (NC) |
| Behavior Technician | 106S00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.