Alexandra E Gingras, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-63374 Issued in FL

Practice address

721 W Lutz Lake Fern Rd
Lutz, FL 33548-4207

Phone

(813) 385-6136

NPI assigned

Sep 21, 2020

Last updated

Feb 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Alexandra E Knoeppel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Achieveability Therapy Services

  • Clinic/Center
  • Lutz, FL
  • NPI 1467294355
  NPD
• Achieveability Therapy Services

  • Community/Behavioral Health Agency
  • Lutz, FL
  • NPI 1619398385

  Behavior Analyst

  NPD

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1295341725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W LUTZ LAKE FERN RD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484207",
            "telephone_number": "813-385-6136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W LUTZ LAKE FERN RD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484207",
            "telephone_number": "813-385-6136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18288 N US Hwy 41",
            "address_purpose": "LOCATION",
            "city": "Lutz",
            "state": "FL",
            "postal_code": "335494400",
            "country_code": "US",
            "telephone_number": "813-527-9638",
            "fax_number": "813-867-7288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 Crystal Grove Blvd",
            "address_purpose": "LOCATION",
            "city": "Lutz",
            "state": "FL",
            "postal_code": "335486460",
            "country_code": "US",
            "telephone_number": "813-527-9638",
            "fax_number": "813-867-7288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GINGRAS",
        "first_name": "ALEXANDRA",
        "middle_name": "E",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-22-13770",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-133089",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-22-63374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "KNOEPPEL",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Devon Michael Giddens, DMD
• Jennifer Lynne Giglia, MD
• Linda Zeola Gilbert, RN
• Whitney Gilbert
• Katie Marie Gildemeister
• Mariana Giron, M.D.
• Amanda Gladson
• Idljona Gllava, M.D.
• Gloria Alf, Inc.
• Kayla Glover

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.