Individual provider Active NPI

Alexandra Russick, RBT

  • Behavior Technician
  • St Augustine, FL
National Provider Identifier
1114831898
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-26-2854069 Issued in FL
Practice address
3100 US Highway 1 S Ste 5
St Augustine, FL 32086-6310
Phone
(904) 206-7024
NPI assigned
Sep 30, 2026
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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-26-2854069 FL Primary

Addresses

Primary practice location

3100 US Highway 1 S Ste 5
St Augustine, FL 32086-6310

Mailing address

3100 US Highway 1 S Ste 5
St Augustine, FL 32086-6310
Phone (904) 206-7024

Other practice location 1

1750 Tree Blvd Ste 6
St Augustine, FL 32084-5719
Phone (904) 206-7024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1114831898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 US HIGHWAY 1 S STE 5",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320866310",
            "telephone_number": "904-206-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 US HIGHWAY 1 S STE 5",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320866310",
            "telephone_number": "904-206-7024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1750 Tree Blvd Ste 6",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320845719",
            "country_code": "US",
            "telephone_number": "904-206-7024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSICK",
        "first_name": "ALEXANDRA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-26-2854069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.