Active NPI
Rachel Caudillo, RBT
- Behavior Technician
- Lake Mary, FL
National Provider Identifier
1114626546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 758 N Sun Dr Ste 112
Lake Mary, FL 32746-2599 - Phone
- (407) 317-5429
- Fax
- (321) 800-7201
- NPI assigned
- Feb 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
758 N Sun Dr Ste 112
Lake Mary, FL 32746-2599
Mailing address
1509 E Colonial Dr Ste 300
Orlando, FL 32803-4729
Phone (407) 218-4340
Other practice location 1
2730 Enterprise Rd
Orange City, FL 32763-8320
Phone (877) 823-4283
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117247800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Concepts Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Developmentally Disabled Services Day Training Agency
- Orlando, FL
- NPI 1790824407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749168000000",
"number": "1114626546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 E COLONIAL DR STE 300",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328034729",
"telephone_number": "407-218-4340",
"fax_number": "321-800-7202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "758 N SUN DR STE 112",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327462599",
"telephone_number": "407-317-5429",
"fax_number": "321-800-7201"
}
],
"practiceLocations": [
{
"address_1": "2730 Enterprise Rd",
"address_purpose": "LOCATION",
"city": "Orange City",
"state": "FL",
"postal_code": "327638320",
"country_code": "US",
"telephone_number": "877-823-4283",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAUDILLO",
"first_name": "RACHEL",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-24",
"last_updated": "2025-06-06",
"certification_date": "2025-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117247800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.