Individual provider Active NPI

Alexa Nicole Glander, M.S., BCBA, LBA

  • Behavior Analyst
  • Oakdale, NY
National Provider Identifier
1104782606
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
004230 Issued in NY
Practice address
12 Wexford Dr
Oakdale, NY 11769-1405
Phone
(631) 905-8491
NPI assigned
Dec 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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 004230 NY Primary

Addresses

Primary practice location

12 Wexford Dr
Oakdale, NY 11769-1405

Mailing address

12 Wexford Dr
Oakdale, NY 11769-1405
Phone (631) 905-8491

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1766966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1104782606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 WEXFORD DR",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691405",
            "telephone_number": "631-905-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 WEXFORD DR",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691405",
            "telephone_number": "631-905-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLANDER",
        "first_name": "ALEXA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "M.S., BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-29",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "004230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.