Alexis Brianne McCormick, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-205990 Issued in CA

Practice address

390 Regatta LN Apt 102
West Sacramento, CA 95605-3229

Phone

(916) 832-2265

Fax

(916) 250-0557

NPI assigned

Mar 7, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Pivotal Learning

  • Behavior Analyst
  • West Sacramento, CA
  • NPI 1609462548
  NPD

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1528715794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 REGATTA LN APT 102",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956053229",
            "telephone_number": "916-832-2265",
            "fax_number": "916-250-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 REGATTA LN APT 102",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956053229",
            "telephone_number": "916-832-2265",
            "fax_number": "916-250-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "ALEXIS",
        "middle_name": "BRIANNE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-22-205990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Marie Martys
• Gabrielle Mata
• Pamela Sue Maxwell, CADC II
• Azaria Lenora Mayo
• Yolanda Mayze
• Mark McCoy, DPT
• Lauren Raye-Dineen McCutcheon, SUDRC
• McGlothlin Enterprises, Inc (Golden Days Adult Day Health Care Center)
• Robyn McKerra
• La Kia Aline McLucas, MHRS

• Behavior Technician in West Sacramento, CA
• Providers in West Sacramento, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.