MEDICARE: REDFOOT ABA THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency
2	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1124960711
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REDFOOT ABA THERAPY LLC

Provider Business Mailing Address
First Line	:	5200 BABCOCK ST NE STE 304
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32905-4648
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5200 BABCOCK ST NE STE 304
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32905-4648
Country	:	US
Telephone Number	:	503-550-9192
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CLINICAL DIRECTOR
Name	:	MADELINE ROGERS-BARAJAS
Credential	:	BCBA
Telephone Number	:	503-550-9192

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	05/27/2026

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