Alexis Evans

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

941 White Horse Mercerville Rd Ste 2
Hamilton, NJ 08610-1407

Phone

(609) 581-3800

Fax

(866) 513-0868

NPI assigned

May 11, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1124640313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 WHITE HORSE MERCERVILLE RD STE 2",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086101407",
            "telephone_number": "609-581-3800",
            "fax_number": "866-513-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 WHITE HORSE MERCERVILLE RD STE 2",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086101407",
            "telephone_number": "609-581-3800",
            "fax_number": "866-513-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-11",
        "last_updated": "2023-11-27",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@bethea-millerbehavioralconsulting.org",
            "affiliation": "Y",
            "affiliationName": "Bethea-Miller Behavioral Consulting, LLC",
            "address_1": "941 White Horse Mercerville Rd Ste 2",
            "city": "Hamilton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086101407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Behavior Technician in Hamilton, NJ
• Providers in Hamilton, NJ by specialty
• Behavior Technician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.