Alexis Elizabeth Fudge, RBT
Individual provider Active NPI Behavior Technician · Pace, FL
NPI 1376301549 · NPPES record last updated Sep 4, 2025
Key facts
- NPI
- 1376301549
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 5345 Highway 90
Pace, FL 32571-1529 - Phone
- (850) 463-4999
- Fax
- (850) 361-3443
- NPI assigned
- Mar 11, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Quest LLC | Current |
Accepting new patients | |
| Behavior Quest LLC | Current |
Accepting new patients |
Locations
5345 Highway 90
Pace, FL 32571
Phone (850) 463-4999
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
5345 Highway 90
Pace, FL 32571-1529
Mailing address
5345 Highway 90
Pace, FL 32571-1529
Phone (850) 463-4999
Other providers in Pace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.