Individual provider Active NPI

Alexis Ruby Reyna, BCBA

  • Behavior Analyst
  • Beavercreek, OH
National Provider Identifier
1568911642
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-16-23272 Issued in TX
Practice address
2522 Nutter Park Dr
Beavercreek, OH 45434-3500
Phone
(937) 306-8811
NPI assigned
Sep 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-16-23272
Behavior Analyst 103K00000X 1-16-23272 TX Primary

Addresses

Primary practice location

2522 Nutter Park Dr
Beavercreek, OH 45434-3500

Mailing address

1291 Paintersville New Jasp Rd
Xenia, OH 45385-8406
Phone (937) 768-5536

Other practice location 1

904 Mountain Lion Cir Ste 500
Harker Heights, TX 76548-5725
Phone (800) 354-0448

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Alexis@positivesolutionsbehaviorgroup.com

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

OrganizationSpecialtyStatusNew patients
Positive Solutions Behavior Group LLC Behavior Analyst CurrentSince Apr 3, 2022 Accepting new patients

Locations

2522 Nutter Park Dr
Dayton, OH 45434
Phone (859) 282-0400

Interoperability endpoints

  • Direct secure messaging: alexis@positivesolutionsbehaviorgroup.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1568911642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1291 PAINTERSVILLE NEW JASP RD",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453858406",
            "telephone_number": "937-768-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2522 NUTTER PARK DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454343500",
            "telephone_number": "937-306-8811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "904 Mountain Lion Cir Ste 500",
            "address_purpose": "LOCATION",
            "city": "Harker Heights",
            "state": "TX",
            "postal_code": "765485725",
            "country_code": "US",
            "telephone_number": "800-354-0448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNA",
        "first_name": "ALEXIS",
        "middle_name": "RUBY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-29",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-16-23272",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-16-23272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Alexis@positivesolutionsbehaviorgroup.com",
            "affiliation": "N",
            "address_1": "2522 Nutter Park Dr",
            "city": "Beavercreek",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454343500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.