Provider Demographics
NPI:1447543350
Name:BRATON, CASSIDY (BCABA)
Entity type:Individual
Prefix:
First Name:CASSIDY
Middle Name:
Last Name:BRATON
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7990 W HOMOSASSA TRL
Mailing Address - Street 2:UNIT #2
Mailing Address - City:HOMOSASSA
Mailing Address - State:FL
Mailing Address - Zip Code:34448-2892
Mailing Address - Country:US
Mailing Address - Phone:352-621-0502
Mailing Address - Fax:352-621-0503
Practice Address - Street 1:7108 S KANNER HWY
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997-7462
Practice Address - Country:US
Practice Address - Phone:855-832-2767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-25
Last Update Date:2025-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC05-1709106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0051709OtherBEHAVIOR ANALYST CERTIFICATION BOARD, INC