Individual provider Active NPI

Alexa Quesnel, RBT

  • Behavior Technician
  • San Ramon, CA
National Provider Identifier
1487415543
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-320323 Issued in GA
Practice address
11040 Bollinger Canyon Rd # 155
San Ramon, CA 94582-4969
Phone
(925) 915-0610
NPI assigned
Jan 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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-24-320323 GA Primary

Addresses

Primary practice location

11040 Bollinger Canyon Rd # 155
San Ramon, CA 94582-4969

Mailing address

11040 Bollinger Canyon Rd Ste E
San Ramon, CA 94582-5056
Phone (925) 915-0610

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-24-320323GAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1487415543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11040 BOLLINGER CANYON RD STE E",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945825056",
            "telephone_number": "925-915-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11040 BOLLINGER CANYON RD # 155",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945824969",
            "telephone_number": "925-915-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUESNEL",
        "first_name": "ALEXA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT-24-320323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.