Alexandra Rose Maureen Elliott

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

343 Sawtell Rd
Roseville, CA 95678-7181

Phone

(916) 662-3851

NPI assigned

Apr 15, 2025

Last updated

Apr 15, 2025By the provider in NPPES

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

Other names 1

• Alexandra Musgrave Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1104612456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 CREEKSIDE RIDGE DR STE 280",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956783504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 SAWTELL RD",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956787181",
            "telephone_number": "916-662-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "ALEXANDRA",
        "middle_name": "ROSE MAUREEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "MUSGRAVE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chris Simon Elias, NMT,CPT,SNS
• Erinn Anne Eliason, DNP-NA, CRNA
• Elite Medical Technologies, LLC
• Diana Denise Ellering, CMT
• Charles Elliot, PHARMD
• Sarah D Elliott, PSYD
• Mary Ann Ellis-Jammal, M.D.
• Amy Elizabeth Ellis, MD
• Amy Roskelley Ellis, M.S.
• Lorraine A. Ellis, MFT

• Behavior Technician in Roseville, CA
• Providers in Roseville, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.

Verify at the official NPI Registry.