CAITLIN LARA MADELYN POWDERLY
NPI 1669037453
Behavior Analyst in Jacksonville, FL

Active since May 07, 2019
3665 ELOISE ST, JACKSONVILLE, FL 32205(978) 408-9462 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 22, 2021, Jan 12, 2021, May 7, 2019 (3 updates tracked since 2019).

About Caitlin Lara Madelyn Powderly NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAITLIN LARA MADELYN POWDERLY (NPI 1669037453) is an individual behavior analyst provider in Jacksonville, Florida, licensed in Florida (1-21-46989) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1669037453
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameCAITLIN LARA MADELYN POWDERLY
Location Address3665 ELOISE STJacksonville, FL 32205-9006
Mailing Address3665 Eloise StJacksonville, FL 32205-9006 · (978) 408-9462
Sole ProprietorYes
Enumeration DateMay 7, 2019
Last NPPES UpdateJanuary 22, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2021
NPI 1669037453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License Licensed in FL · 1-21-46989
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Also ListedBehavior TechnicianTaxonomy 106S00000X · License 19-84604
3665 ELOISE ST, Jacksonville, FL 32205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Caitlin Powderly's NPI number?

The NPI number for Caitlin Powderly is 1669037453. It was assigned to this individual provider in the NPPES registry on May 7, 2019.

Where is Caitlin Powderly located?

Caitlin Powderly practices at 3665 Eloise St, Jacksonville, FL 32205. The listed phone number is (978) 408-9462.

What is Caitlin Powderly's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Caitlin Powderly was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.