Kirsten Alexi Rose, MA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-42991

Practice address

907 Outer Rd Ste B
Orlando, FL 32814-6601

Phone

(407) 267-6745

NPI assigned

Dec 28, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Kirsten Alexi Wooley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1245775311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349977462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 OUTER RD STE B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146601",
            "telephone_number": "407-267-6745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 N Reo St",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336091061",
            "country_code": "US",
            "telephone_number": "813-374-2070",
            "fax_number": "813-337-0937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "KIRSTEN",
        "middle_name": "ALEXI",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-28",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-20-42991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTEN",
            "last_name": "WOOLEY",
            "middle_name": "ALEXI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cristy Anne Rose, APRN
• Faith Rose
• Jack Rose, PHARMD
• Jessica L Rose, DO
• Katelyn Rose
• Melanie Raine Rose
• Nicole Marie Rose
• Savannah Jade Rose
• Cassandra Rosello, MD
• Melissa K Rosello, D.M.D.

• Behavior Analyst in Orlando, FL
• Providers in Orlando, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.