Individual provider Active NPI

Alexis Burse

  • Behavior Technician
  • Marietta, GA
National Provider Identifier
1124613252
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-21-157951 Issued in GA
Practice address
50 Plaza Way NW Ste a
Marietta, GA 30060-1141
Phone
(678) 691-2206
NPI assigned
Mar 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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-21-157951 GA Primary

Addresses

Primary practice location

50 Plaza Way NW Ste a
Marietta, GA 30060-1141

Mailing address

50 Plaza Way NW Ste a
Marietta, GA 30060-1141
Phone (678) 691-2206

Other identifiers 1

IdentifierTypeStateIssuer
RBT-21-157951OtherGARBT LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL alexis@pathwaysbehavior.com

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

State licenses

LicenseStateTypeSpecialty
RBT-21-157951GAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Behavioral Consulting, LLC PastSince Mar 7, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1124613252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 PLAZA WAY NW STE A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601141",
            "telephone_number": "678-691-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PLAZA WAY NW STE A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601141",
            "telephone_number": "678-691-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURSE",
        "first_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT-21-157951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RBT LICENSE",
            "identifier": "RBT-21-157951",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "alexis@pathwaysbehavior.com",
            "affiliation": "N",
            "address_1": "50 Plaza Way NW Ste A",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300601141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.