Individual provider Active NPI

Rachael E Rudloff, M.S., BCBA, LABA

  • Behavior Analyst
  • Coventry, RI
National Provider Identifier
1295160356
Registry record updated Jan 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
124 Teakwood Dr W
Coventry, RI 02816-8585
Phone
(401) 595-3773
NPI assigned
Sep 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X RI Primary

Addresses

Primary practice location

124 Teakwood Dr W
Coventry, RI 02816-8585

Mailing address

124 Teakwood Dr W
Coventry, RI 02816-8585
Phone (401) 595-3773

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Strides Behavioral Services, LLC Behavior Analyst CurrentSince Jan 10, 2021 Accepting new patients
Momentum Inc. Behavior Analyst Past Accepting new patients

Locations

600 Toll Gate Rd
Warwick, RI 02886
Phone (401) 477-9495

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609632000000",
    "number": "1295160356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 TEAKWOOD DR W",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028168585",
            "telephone_number": "401-595-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 TEAKWOOD DR W",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028168585",
            "telephone_number": "401-595-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDLOFF",
        "first_name": "RACHAEL",
        "middle_name": "E",
        "credential": "M.S., BCBA, LABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-09",
        "last_updated": "2021-01-03",
        "certification_date": "2021-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "RI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coventry, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.