Individual provider Active NPI

Alexys Lynn Sladyk, RBT

  • Behavior Technician
  • Rockledge, FL
National Provider Identifier
1245841998
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-20-131467 Issued in FL
Practice address
5830 US Highway 1 Ste 102
Rockledge, FL 32955-5704
Phone
(321) 372-6813
Fax
(321) 765-6434
NPI assigned
Aug 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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-20-131467 FL Primary

Addresses

Primary practice location

5830 US Highway 1 Ste 102
Rockledge, FL 32955-5704

Mailing address

7075 N Highway 1
Cocoa, FL 32927-5216
Phone (321) 888-3020

Other practice location 1

125 E Nasa Blvd
Melbourne, FL 32901-1900
Phone (321) 372-6813 ext. 307

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-20-131467FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1245841998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7075 N HIGHWAY 1",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329275216",
            "telephone_number": "321-888-3020",
            "fax_number": "661-263-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 US HIGHWAY 1 STE 102",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555704",
            "telephone_number": "321-372-6813",
            "fax_number": "321-765-6434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 E Nasa Blvd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329011900",
            "country_code": "US",
            "telephone_number": "321-372-6813 x307",
            "fax_number": "321-765-6434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLADYK",
        "first_name": "ALEXYS",
        "middle_name": "LYNN",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-14",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-131467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.