Individual provider Active NPI

Allexis Shae Dansby

  • Behavior Technician
  • Dothan, AL
National Provider Identifier
1336870179
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
112 Adris PL
Dothan, AL 36303-1997
Phone
(334) 792-5020
NPI assigned
Jun 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 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 Primary

Addresses

Primary practice location

112 Adris PL
Dothan, AL 36303-1997

Mailing address

112 Adris PL
Dothan, AL 36303-1997

Other identifiers 1

IdentifierTypeStateIssuer
BACB790808OtherALBACB790808

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Info@abaassociate.com

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": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1336870179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ADRIS PL",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363031997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ADRIS PL",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363031997",
            "telephone_number": "334-792-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANSBY",
        "first_name": "ALLEXIS",
        "middle_name": "SHAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB790808",
            "identifier": "BACB790808",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Info@abaassociate.com",
            "affiliation": "N",
            "address_1": "112 Adris Pl",
            "city": "Dothan",
            "state": "AL",
            "country_code": "US",
            "postal_code": "363031997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.