Individual provider Active NPI

Alicia N White, BCBA

  • Behavior Analyst
  • Panama City, FL
National Provider Identifier
1083910509
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-15-19917
Practice address
2808 Hawks Landing Blvd
Panama City, FL 32405
Phone
(615) 948-7203
NPI assigned
Jan 31, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Information Specialist/Technologist 246Y00000X
Behavior Analyst 103K00000X 1-15-19917 Primary

Addresses

Primary practice location

2808 Hawks Landing Blvd
Panama City, FL 32405

Mailing address

1878 E Nine Mile Rd Apt 1603
Pensacola, FL 32514-5413
Phone (850) 341-3608

Other practice location 1

550 Saint Johns St
Cocoa, FL 32922-7241
Phone (321) 639-9800

Other practice location 2

1878 E Nine Mile Rd Apt 1603
Pensacola, FL 32514-5413
Phone (850) 341-3608

Other identifiers 1

IdentifierTypeStateIssuer
017740500MedicaidFL

Other names 1

  • Alicia D Naff Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
White Industries, LLC 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": "1296432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1083910509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1878 E NINE MILE RD APT 1603",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325145413",
            "telephone_number": "850-341-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 HAWKS LANDING BLVD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "32405",
            "telephone_number": "615-948-7203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Saint Johns St",
            "address_purpose": "LOCATION",
            "city": "Cocoa",
            "state": "FL",
            "postal_code": "329227241",
            "country_code": "US",
            "telephone_number": "321-639-9800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1878 E Nine Mile Rd Apt 1603",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325145413",
            "country_code": "US",
            "telephone_number": "850-341-3608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ALICIA",
        "middle_name": "N",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-31",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Y00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Health Information",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-15-19917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017740500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "NAFF",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.