Alexandra Florence McCallen, M. ED., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-09-5007

Practice address

16850 SW Ledgestone Dr
Beaverton, OR 97007-5189

Phone

(971) 425-1014

NPI assigned

Dec 19, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Alexandra Florence Chehab Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

Practice roles

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.

• Behavioral Imprints LLC

  • Behavior Analyst
  • Beaverton, OR
  • NPI 1093511255
  NPD Authorized official

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1497091458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16850 SW LEDGESTONE DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970075189",
            "telephone_number": "971-425-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16850 SW LEDGESTONE DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970075189",
            "telephone_number": "971-425-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALLEN",
        "first_name": "ALEXANDRA",
        "middle_name": "FLORENCE",
        "name_prefix": "Ms.",
        "credential": "M. ED., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-19",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-09-5007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "CHEHAB",
            "middle_name": "FLORENCE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chalres Albert McBride, OD
• Stephanie Kay McBride
• Adyn McCabe
• George McCall
• Michael Charles McCall, DC
• Farralyn McCallum
• Kathleen McCarroll
• Alea McCarty
• Lyndsee McCauslin
• Samantha McClain

• Behavior Analyst in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Behavior Analyst in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.