Individual provider Active NPI

Alexa Ann Brososky

  • Behavior Technician
  • Gulf Breeze, FL
National Provider Identifier
1083391734
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23-282210 Issued in FL
Practice address
4657 Gulf Breeze Pkwy Ste C
Gulf Breeze, FL 32563-9166
Phone
(850) 307-8811
NPI assigned
Jul 3, 2023
Last updated
Jul 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-23-282210 FL Primary

Addresses

Primary practice location

4657 Gulf Breeze Pkwy Ste C
Gulf Breeze, FL 32563-9166

Mailing address

4657 Gulf Breeze Pkwy Ste C
Gulf Breeze, FL 32563-9166
Phone (850) 307-8811

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
RBT-23-282210FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1083391734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4657 GULF BREEZE PKWY STE C",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325639166",
            "telephone_number": "850-307-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4657 GULF BREEZE PKWY STE C",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325639166",
            "telephone_number": "850-307-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSOSKY",
        "first_name": "ALEXA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-282210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.