Individual provider Active NPI

Alexandra Edith Lynch, BCBA

  • Behavior Analyst
  • Norwalk, CT
National Provider Identifier
1073239513
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1531 Issued in CT
Practice address
112 Main St
Norwalk, CT 06851-4617
Phone
(203) 286-8540
NPI assigned
Oct 17, 2022
Last updated
Oct 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1531 CT Primary

Addresses

Primary practice location

112 Main St
Norwalk, CT 06851-4617

Mailing address

180 Broad St Apt 1119
Stamford, CT 06901-2076
Phone (631) 413-7771

Other practice location 1

326 W Main St
Milford, CT 06460-2560
Phone (203) 283-7027

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

LicenseStateTypeSpecialty
1531CTMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Ragozzine & Associates Behavior Analyst Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1073239513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 BROAD ST APT 1119",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069012076",
            "telephone_number": "631-413-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MAIN ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514617",
            "telephone_number": "203-286-8540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "326 W Main St",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "CT",
            "postal_code": "064602560",
            "country_code": "US",
            "telephone_number": "203-283-7027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "ALEXANDRA",
        "middle_name": "EDITH",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "1531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.