Active NPI
Alexandra J Santa Maria, BCBA 12478118
- Behavior Analyst
- Salt Lake City, UT
National Provider Identifier
1023650280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 14203505-2506
- Practice address
- 10 W Broadway FL 7
Salt Lake City, UT 84101-2060 - Phone
- (385) 494-3503
- NPI assigned
- Oct 9, 2019
- Last updated
- Mar 6, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 14203505-2506 | UT | Primary |
Addresses
Primary practice location
10 W Broadway FL 7
Salt Lake City, UT 84101-2060
Mailing address
573 W 2140 South Cir
St George, UT 84770-6107
Phone (801) 502-4212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14203505-2506 | UT | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ABA Led by Me Autism Services LLC | Behavior Analyst | Current | Accepting new patients |
| Creatively Clinic LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Fort Lauderdale, FL
- NPI 1295691384
-
- Behavior Analyst
- Sunrise, FL
- NPI 1073339305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741219200000",
"number": "1023650280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "573 W 2140 SOUTH CIR",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847706107",
"telephone_number": "801-502-4212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 W BROADWAY FL 7",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841012060",
"telephone_number": "385-494-3503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTA MARIA",
"first_name": "ALEXANDRA",
"middle_name": "J",
"credential": "BCBA 12478118",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-09",
"last_updated": "2025-03-06",
"certification_date": "2025-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "UT",
"license": "14203505-2506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.