Katlyn Aliana Boodram

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-24-363962 Issued in NY

Practice address

50 Willow Dr
Orlando, FL 32807-3220

Phone

(407) 895-0801

NPI assigned

Aug 1, 2024

Last updated

Jun 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Latino Leadership, Inc.

  dba Santiago and Friends (Sanford)

  • Behavior Analyst
  • Sanford, FL
  • NPI 1356001473
  NPD
• Endless Possibilities Therapy and Learning LLC

  • Behavior Analyst
  • Titusville, FL
  • NPI 1447717343
  NPD (past)
• In Motion ABA Inc

  • Behavior Analyst
  • Melbourne, FL
  • NPI 1497464994
  NPD (past)
• Latino Leadership, Inc.

  dba Clinica Mi Salud

  • Behavior Analyst
  • Orlando, FL
  • NPI 1861882631

  Behavior Technician

  NPD (past)

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1558190074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 ISABELLA DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329351719",
            "telephone_number": "321-381-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 WILLOW DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073220",
            "telephone_number": "407-895-0801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13 E Melbourne Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329015976",
            "country_code": "US",
            "telephone_number": "321-677-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOODRAM",
        "first_name": "KATLYN",
        "middle_name": "ALIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NY",
            "license": "RBT-24-363962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123459500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Bontrager
• Taylor Bontrager, DO
• Kelly Bonus, OTR/L
• Katrina J Boodhan
• Jacqueline Vanita Boodhoo, APRN
• Vicki Lynn Booher
• Alexandria Jarae Boone
• Michelle Anne Boone, ARNP
• Scott Allen Boone, M.D.
• Robin Boornazian, COTA/L, CPT

• Behavior Technician in Orlando, FL
• Providers in Orlando, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.

Verify at the official NPI Registry.