Active NPI
Marie Rachuig, BCBA
- Behavior Analyst
- Melbourne, FL
National Provider Identifier
1891306304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 12579604
- Practice address
- 4100 N Wickham Rd Unit 107a-260
Melbourne, FL 32935-2485 - Phone
- (504) 444-9549
- NPI assigned
- Aug 10, 2020
- 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 Analyst | 103K00000X | 12579604 | FL | Primary |
Addresses
Primary practice location
4100 N Wickham Rd Unit 107a-260
Melbourne, FL 32935-2485
Mailing address
29 E Fee Ave
Melbourne, FL 32901-4416
Phone (504) 444-9549
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12579604 | FL | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757376000000",
"number": "1891306304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 E FEE AVE",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329014416",
"telephone_number": "504-444-9549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 N WICKHAM RD UNIT 107A-260",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329352485",
"telephone_number": "504-444-9549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RACHUIG",
"first_name": "MARIE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-10",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "12579604",
"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 9, 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.