Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558190074 Individual Practitioner Female Practitioner

Katlyn Aliana Boodram

Behavior Technician • Orlando, FL

Professional Overview & Biography Verified Profile Summary

Katlyn Boodram is a registered healthcare professional specializing in Behavior Technician in Orlando, FL. Practice services are available at 50 WILLOW DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

50 Willow Dr

Orlando, FL 328073220

Telephone 4078950801
Associated Practice Facility / Clinic
🏢 Latino Leadership, Inc. Facility NPI 1861882631

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Orlando, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3079 Specialists

Practicing in Orlando, FL (75895 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-18
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

State License NY RBT-24-363962

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
123459500 (FL)

Secondary Practice Locations

13 E Melbourne Ave Ste D

Melbourne, FL 329015976

Phone: 3216772222

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1013605856

Board Certified Behavior Analyst

Jennifer Perez Briones

Behavior Technician

NPI 1013768464
Diana Diaz

Behavior Technician

NPI 1013784834
Yandry Perez Pino

Behavior Technician

NPI 1053107292
Zoe Noriega

Behavior Technician

NPI 1063976207
Jesenia Bazan Moreno

Behavior Technician

NPI 1073380226

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 18, 2025

Registered at 50 WILLOW DR, ORLANDO, FL 328073220 (Tel: 4078950801)

📍
Updated Practice Location April 01, 2025

Registered at 3880 CATALINA ST, TITUSVILLE, FL 327962211 (Tel: 7864994694)

📍
Updated Business Mailing Address April 01, 2025

Registered at 1420 ISABELLA DR, MELBOURNE, FL 329351719 (Tel: 3213818545)

NPI Profile Active August 01, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location August 01, 2024

Registered at 453 KING ST, COCOA, FL 329227621 (Tel: 3216335511)

📍
Updated Business Mailing Address August 01, 2024

Registered at 1420 ISABELLA DR UNIT 108, MELBOURNE, FL 329351711 (Tel: 3213818545)

👤
Provider Name / Credentials Updated August 01, 2024

Recorded as KATLYN BOODRAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2024

Behavior Technician (License #RBT-24-363962 in NY)

🟢
Initial NPI Registration & Enumeration August 01, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558190074
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2024
Last Update: June 18, 2025
Sole Proprietor: No

Mailing Address

1420 Isabella Dr

Melbourne, FL 329351719

Phone: 3213818545

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.