Alexa Janet Peters, B.S., B.S., RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-21-164998 Issued in VA

Practice address

1630 Braeburn Dr
Salem, VA 24153-7371

Phone

(540) 588-9582

NPI assigned

Jul 27, 2021

Last updated

Jun 23, 2022By 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

• Alexa Janet Nosal Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1114690070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S DOUGLAS RD STE 230",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344108",
            "telephone_number": "844-854-1116",
            "fax_number": "305-846-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 BRAEBURN DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537371",
            "telephone_number": "540-588-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "ALEXA",
        "middle_name": "JANET",
        "credential": "B.S., B.S., RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "VA",
            "license": "RBT-21-164998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXA",
            "last_name": "NOSAL",
            "middle_name": "JANET",
            "credential": "B.S., B.S., RBT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sara E Perez-Torres, MD
• Enrique Perez, MD
• Performance Medicine of Southwest (Performance Medicine of Southwest Virginia, LLC)
• Jessica Lynn Perkins
• Olivia Perrine
• Katelyn Cox Peters, LCSW
• Eric Lee Peterson
• Michael Petika
• Michelle A Pettis-Tibbs, LCSW
• PHC of Virginia, LLC (Mount Regis Center)

• Behavior Technician in Salem, VA
• Providers in Salem, VA by specialty
• Behavior Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.