MEDICARE: CASSIE MARTINE ZIESK BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-15-04647	FL
2	103K00000X	Behavior Analyst	1-19-37878	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	RBT-15-04647	OTHER	FL	RBT
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144627357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASSIE MARTINE ZIESK BCBA

Provider Business Mailing Address
First Line	:	2502 SAINT JOHNS LN
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32935-3636
Country	:	US
Telephone Number	:	321-537-8467
Fax Number	:	321-306-2880

Provider Business Practice Location Address
First Line	:	1912 DAIRY RD
Second Line	:
City	:	WEST MELBOURNE
State	:	FL
Zip	:	32904-4046
Country	:	US
Telephone Number	:	321-537-8467
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/03/2014
Last Update Date	:	02/24/2022

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1396907853 — LINA KANJ MD PA
Practice Location Address:

1936 DAIRY RD
WEST MELBOURNE, FL
32904-4046

Practice Phone: 321-724-1319
Practice Fax: 321-724-1776

1134504335 — YASAMIN SARPOOLAKI
Practice Location Address:

1912 DAIRY RD
WEST MELBOURNE, FL
32904-4046

Practice Phone: 214-133-3663
Practice Fax: 321-306-2880

1831600832 — LACEY M BLECHA BCBA
Practice Location Address:

1912 DAIRY RD
WEST MELBOURNE, FL
32904-4046

Practice Phone: 321-413-3366
Practice Fax: 321-306-2880

1689153249 — MARISELL SANTOS CRUZ
Practice Location Address:

1924 DAIRY RD
WEST MELBOURNE, FL
32904-4046

Practice Phone: 787-460-8884
Practice Fax:

1730640582 — JULIANNE ISABELLA FERNANDEZ
Practice Location Address:

1912 DAIRY RD
WEST MELBOURNE, FL
32904-4046

Practice Phone: 321-413-3366
Practice Fax:

Directions to “ CASSIE MARTINE ZIESK BCBA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.