Active NPI
Alexis Jasmine Small, RBT
- Behavior Technician
- Rincon, GA
National Provider Identifier
1376474486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 853353346
- Practice address
- 806 Towne Park Dr
Rincon, GA 31326-9368 - Phone
- (912) 208-4776
- NPI assigned
- May 27, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 853353346 | GA | Primary |
Addresses
Primary practice location
806 Towne Park Dr
Rincon, GA 31326-9368
Mailing address
430 Weisenbaker Rd Apt 31
Rincon, GA 31326-9029
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
| License | State | Type | Specialty |
|---|---|---|---|
| 853353346 | GA | MD | Developmental Disabilities Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1376474486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 WEISENBAKER RD APT 31",
"city": "RINCON",
"state": "GA",
"postal_code": "313269029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806 TOWNE PARK DR",
"city": "RINCON",
"state": "GA",
"postal_code": "313269368",
"telephone_number": "912-208-4776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALL",
"first_name": "ALEXIS",
"middle_name": "JASMINE",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-27",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "GA",
"license": "853353346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rincon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.