Active NPI
Alexis Renee Andersen, BCABA
- Behavior Analyst
- Grand Rapids, MI
National Provider Identifier
1558926261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 551 36TH St. SE
Grand Rapids, MI 49548 - Phone
- (844) 244-1818
- NPI assigned
- May 8, 2019
- Last updated
- Sep 23, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | MI | Primary |
Addresses
Primary practice location
551 36TH St. SE
Grand Rapids, MI 49548
Mailing address
1500 Douglas Road, Ste 230
Coral Gables, FL 33134
Phone (844) 244-1818
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Discovery ABA Services, LLC | Behavior Analyst | Past | Accepting new patients |
| Acorn Health, LLC. | Behavior Analyst | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Zeeland, MI
- NPI 1215326517
-
- Behavior Analyst
- Coral Gables, FL
- NPI 1801494679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758585600000",
"number": "1558926261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 DOUGLAS ROAD, STE 230",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "33134",
"telephone_number": "844-244-1818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "551 36TH ST. SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49548",
"telephone_number": "844-244-1818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSEN",
"first_name": "ALEXIS",
"middle_name": "RENEE",
"credential": "BCABA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-08",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.