Individual provider Active NPI

Alexis Kiomi Fejeran, BCBA

  • Behavior Analyst
  • Spring, TX
National Provider Identifier
1255965471
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
4540 Spring Stuebner Rd Ste 100
Spring, TX 77389-1116
Phone
(855) 782-7822
NPI assigned
Feb 26, 2020
Last updated
Jun 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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 TX Primary

Addresses

Primary practice location

4540 Spring Stuebner Rd Ste 100
Spring, TX 77389-1116

Mailing address

24530 Gosling Rd Apt 1233
Spring, TX 77389-5614
Phone (832) 873-3743

Other practice location 1

2515 Superior Rd
Magnolia, TX 77354-1431
Phone (346) 225-7998

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

NPI Registry JSON

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1255965471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24530 GOSLING RD APT 1233",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773895614",
            "telephone_number": "832-873-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 SPRING STUEBNER RD STE 100",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773891116",
            "telephone_number": "855-782-7822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2515 Superior Rd",
            "address_purpose": "LOCATION",
            "city": "Magnolia",
            "state": "TX",
            "postal_code": "773541431",
            "country_code": "US",
            "telephone_number": "346-225-7998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEJERAN",
        "first_name": "ALEXIS",
        "middle_name": "KIOMI",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.