Rachael Victoria Kelly, PSR SPECIALIST, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-198902 Issued in FL

Practice address

601 S Lake Destiny Rd
Maitland, FL 32751-7226

Phone

(407) 647-6555

NPI assigned

Nov 23, 2021

Last updated

Mar 6, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1922765049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14007 ZEPHERMOOR LN",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875330",
            "telephone_number": "321-320-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S LAKE DESTINY RD",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517226",
            "telephone_number": "407-647-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "RACHAEL",
        "middle_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "PSR SPECIALIST, RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-22-198902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Keisari, M.D
• Kelly Higgins
• Barbara E Kelly, PH.D.
• Brian D. Kelly, D.O.
• Fred A Kelly II, ARNP
• Sherrell Kelly, M.S.
• Laurie Kemper, PSY D
• Kent S Hoffman DO PA
• Mahek Fatema Kermalli, MMS, PA-C
• Sajid Khan, APRN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.