Individual provider Active NPI

Alixandra Nicole Raymond, M.S., BCBA

  • Behavior Analyst
  • Rome, GA
National Provider Identifier
1124395181
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA000272 Issued in GA
Practice address
3 Central Plaza
#101
Rome, GA 30161-3230
Phone
(855) 832-6727
Fax
(772) 675-9100
NPI assigned
Nov 18, 2011
Last updated
Dec 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 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 LBA000272 GA Primary

Addresses

Primary practice location

3 Central Plaza
#101
Rome, GA 30161-3230

Mailing address

1980 Old Cedartown Rd
Cedartown, GA 30125-5082
Phone (678) 787-8039

Other practice location 1

1980 Old Cedartown Rd
Cedartown, GA 30125-5082
Phone (386) 283-3705

Other identifiers 1

IdentifierTypeStateIssuer
018556100MedicaidFL

Other names 1

  • Alixandra Raymond Hubbard 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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LBA000272GAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1124395181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 OLD CEDARTOWN RD",
            "city": "CEDARTOWN",
            "state": "GA",
            "postal_code": "301255082",
            "telephone_number": "678-787-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CENTRAL PLAZA",
            "address_2": "#101",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613230",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1980 Old Cedartown Rd",
            "address_purpose": "LOCATION",
            "city": "Cedartown",
            "state": "GA",
            "postal_code": "301255082",
            "country_code": "US",
            "telephone_number": "386-283-3705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "ALIXANDRA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "M.S., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-18",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "LBA000272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018556100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALIXANDRA",
            "last_name": "HUBBARD",
            "middle_name": "RAYMOND",
            "credential": "M.S., BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.