Active NPI
Alexis Braaten
- Behavior Technician
- Overland Park, KS
National Provider Identifier
1598330342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 106500
- Practice address
- 11235 Mastin St Ste 201
Overland Park, KS 66210-2929 - Phone
- (913) 318-9500
- NPI assigned
- May 24, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 Technician | 106S00000X | 106500 | KS | Primary |
Addresses
Primary practice location
11235 Mastin St Ste 201
Overland Park, KS 66210-2929
Mailing address
4000 W 68TH St
Prairie Village, KS 66208-2103
Phone (913) 318-9500
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
| License | State | Type | Specialty |
|---|---|---|---|
| 106500 | KS | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621814400000",
"number": "1598330342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 W 68TH ST",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662082103",
"telephone_number": "913-318-9500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11235 MASTIN ST STE 201",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662102929",
"telephone_number": "913-318-9500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAATEN",
"first_name": "ALEXIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-24",
"last_updated": "2021-05-24",
"certification_date": "2021-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "KS",
"license": "106500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.