Provider Demographics
NPI:1184074478
Name:COUTO, MARIA CASSIA (RBT)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:CASSIA
Last Name:COUTO
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:645 STANTON DR
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-3598
Mailing Address - Country:US
Mailing Address - Phone:954-562-2261
Mailing Address - Fax:
Practice Address - Street 1:645 STANTON DR
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-3598
Practice Address - Country:US
Practice Address - Phone:954-562-2261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-16
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician