Individual provider Active NPI

Alexis Nicole Siders

  • Behavior Technician
  • Farmington Hills, MI
National Provider Identifier
1467168799
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23-253696 Issued in WV
Practice address
27777 Inkster Rd
Farmington Hills, MI 48334-5310
Phone
(248) 436-6561
NPI assigned
Jan 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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 RBT-23-253696 WV Primary

Addresses

Primary practice location

27777 Inkster Rd
Farmington Hills, MI 48334-5310

Mailing address

27777 Inkster Rd
Farmington Hills, MI 48334-5310
Phone (248) 436-6561

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

LicenseStateTypeSpecialty
RBT-23-253696WVMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Solutions Positive Behavior Strategies CurrentSince Nov 5, 2023 Accepting new patients
Applied Behavior Learning Center Behavior Analyst PastSince Feb 8, 2023 Accepting new patients

Locations

325 6th Ave
South Charleston, WV 25303
Phone (304) 720-3383

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1467168799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27777 INKSTER RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483345310",
            "telephone_number": "248-436-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27777 INKSTER RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483345310",
            "telephone_number": "248-436-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDERS",
        "first_name": "ALEXIS",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WV",
            "license": "RBT-23-253696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.