Individual provider Active NPI

Alessandra Fobes, BCBA

  • Behavior Analyst
  • Tampa, FL
National Provider Identifier
1508407925
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0133001517 Issued in VA
Practice address
9051 Florida Mining Blvd Ste 102
Tampa, FL 33634-1240
Phone
(813) 374-2070
Fax
(813) 337-0937
NPI assigned
Oct 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 0133001517 VA Primary

Addresses

Primary practice location

9051 Florida Mining Blvd Ste 102
Tampa, FL 33634-1240

Mailing address

9051 Florida Mining Blvd Ste 102
Tampa, FL 33634-1240
Phone (813) 374-2070

Other names 1

  • Alessandra Baker Former name

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
0133001517VAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1508407925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9051 FLORIDA MINING BLVD STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336341240",
            "telephone_number": "813-374-2070",
            "fax_number": "813-337-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9051 FLORIDA MINING BLVD STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336341240",
            "telephone_number": "813-374-2070",
            "fax_number": "813-337-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOBES",
        "first_name": "ALESSANDRA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133001517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALESSANDRA",
            "last_name": "BAKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.