Individual provider Active NPI

Kayla Marie Soracco

  • Behavior Technician
  • Melbourne, FL
National Provider Identifier
1518896307
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
BACB1564173 Issued in FL
Practice address
13 E Melbourne Ave Ste D
Melbourne, FL 32901-5976
Phone
(321) 677-2222
NPI assigned
May 18, 2026
Reactivated
Sep 29, 2026
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X BACB1564173 FL Primary

Addresses

Primary practice location

13 E Melbourne Ave Ste D
Melbourne, FL 32901-5976

Mailing address

413 Pasto Cir SW
Palm Bay, FL 32908-3470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1518896307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 PASTO CIR SW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329083470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 E MELBOURNE AVE STE D",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015976",
            "telephone_number": "321-677-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORACCO",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-09-29",
        "certification_date": "2026-05-18",
        "deactivation_date": "2026-05-18",
        "reactivation_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "BACB1564173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.