Maire Rose Decioccio
Behavior Analyst in Melbourne, FL. Individual provider (NPI-1).
NPI number1497348809
StatusActive
Last updated in NPPESSep 10, 2025
Details
- NPI
- 1497348809
- Entity type
- Individual (NPI-1)
- Name
- Maire Rose Decioccio
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 17, 2021
- Certification date
- Sep 10, 2025
- Last updated
- Sep 10, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 2334 | NC | Yes |
| 103K00000X | Behavior Analyst | 1-23-69004 | FL | |
| 106S00000X | Behavior Technician | – | – |
Practice location
1435 Aurora RdMelbourne, FL 32935-5315
Phone 321-541-1970
Mailing address
773 S Orlando AveCocoa Beach, FL 32931-2521
Phone 321-978-9131
Other practice locations
16 2nd St Nw
Hickory, NC 28601-6105
Hickory, NC 28601-6105
Phone 828-358-0976 · Fax 828-838-1057
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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