Individual provider Active NPI

Alexandria Andrews, BCBA

  • Behavior Analyst
  • Peachtree Corners, GA
National Provider Identifier
1205401262
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-24-74094 Issued in GA
Practice address
157 Technology Pkwy Ste 600
Peachtree Corners, GA 30092-3489
Phone
(678) 913-5481
NPI assigned
May 23, 2021
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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 1-24-74094 GA Primary

Addresses

Primary practice location

157 Technology Pkwy Ste 600
Peachtree Corners, GA 30092-3489

Mailing address

157 Technology Pkwy Ste 600
Peachtree Corners, GA 30092-3489
Phone (404) 474-2212

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elliston Pediatrics LLC Behavior Analyst CurrentSince Jul 21, 2024 Accepting new patients
Elliston LLC Behavior Analyst CurrentSince Jul 21, 2024 Accepting new patients

Locations

11560 Great Oaks Way
Ste 300
Alpharetta, GA 30022
Phone (404) 474-0040

157 Technology Pkwy
Ste 600
Peachtree Corners, GA 30092
Phone (404) 474-0040

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1621728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1205401262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 TECHNOLOGY PKWY STE 600",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300923489",
            "telephone_number": "404-474-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 TECHNOLOGY PKWY STE 600",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300923489",
            "telephone_number": "678-913-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "ALEXANDRIA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-24-74094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree Corners, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.