Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Caitlin Lara Madelyn Powderly

Individual provider Behavior Analyst · NPI 1669037453

Caitlin Lara Madelyn Powderly is a Behavior Analyst in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

3665 Eloise St
Jacksonville, FL 32205-9006
Phone: (978) 408-9462
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-21-46989 (FL)
Behavior Analyst Taxonomy 103K00000X
Behavior Technician Taxonomy 106S00000X · Licence 19-84604

Record details

NPI number1669037453
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 7, 2019
Last updated in NPPESJanuary 22, 2021
Certification dateJanuary 22, 2021

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