Alexandra Kosma, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-16-22519 Issued in CT

Practice address

1080 Mill Hill Ter
Southport, CT 06890

Phone

(203) 292-5837

NPI assigned

Jun 28, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Skyline Behavioral Health

  • Behavior Analyst
  • Southport, CT
  • NPI 1740776111
  NPD (past) Authorized official

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1023469343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BUXTON FARM RD",
            "address_2": "SUITE 105",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051224",
            "telephone_number": "720-979-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 MILL HILL TER",
            "city": "SOUTHPORT",
            "state": "CT",
            "postal_code": "06890",
            "telephone_number": "203-292-5837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSMA",
        "first_name": "ALEXANDRA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "1-16-22519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Katz, LMFT
• Linda Keller, LCSW, LMFT
• Helen W. Kelly, M.S.
• Robert W Kipp Jr., D.C.
• Alyssa Kolesar, LMFT
• Susan Elaine Kotulsky, M.A., LMFT
• Margaret Kudzy, M.S., CCC-SLP
• Julie Lauren Laifer, MD
• Robert C Landis, M.D.
• LB Switzer, Inc (Switzer's Pharmacy)

• Behavior Analyst in Southport, CT
• Providers in Southport, CT by specialty
• Behavior Analyst in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.