Individual provider Active NPI

Carla Alexis Ehlers, MSW, RBT

  • Behavior Technician
  • Sanford, FL
National Provider Identifier
1669840427
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-19-78634 Issued in FL
Practice address
400 E Lake Mary Blvd
Sanford, FL 32773
Phone
(407) 320-0000
NPI assigned
Sep 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Behavior Technician 106S00000X RBT-19-78634 FL Primary

Addresses

Primary practice location

400 E Lake Mary Blvd
Sanford, FL 32773

Mailing address

400 E Lake Mary Blvd
Sanford, FL 32773-7125
Phone (407) 320-0000

Other practice location 1

200 E Robinson St Ste 200
Orlando, FL 32801-1969
Phone (407) 440-4509

Other practice location 2

791 Rinehart Rd
Lake Mary, FL 32746-4876
Phone (407) 413-9550

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

State licenses

LicenseStateTypeSpecialty
RBT-19-78634FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Autism Center PastSince May 10, 2020 Accepting new patients
Florida Autism Center Behavior Technician Past Accepting new patients
Meridian Associates, LLC Past Accepting new patients
Meridian Associates Counseling and Prevention Services, Inc. Clinical Past Accepting new patients

Organizations & group practices 4

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": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1669840427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E LAKE MARY BLVD",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327737125",
            "telephone_number": "407-320-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E LAKE MARY BLVD",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "32773",
            "telephone_number": "407-320-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E Robinson St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328011969",
            "country_code": "US",
            "telephone_number": "407-440-4509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "791 Rinehart Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327464876",
            "country_code": "US",
            "telephone_number": "407-413-9550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EHLERS",
        "first_name": "CARLA",
        "middle_name": "ALEXIS",
        "credential": "MSW, RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-10",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-19-78634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.