Healthcare Provider Details
I. General information
NPI: 1376028126
Provider Name (Legal Business Name): HILLARY CASSEL BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/27/2018
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100125 OVERSEAS HWY
KEY LARGO FL
33037-4423
US
IV. Provider business mailing address
89 N BAY HARBOR DR
KEY LARGO FL
33037-2016
US
V. Phone/Fax
- Phone: 305-440-3948
- Fax:
- Phone: 305-342-5493
- Fax: 305-453-6374
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | 1-19-35959 |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: