Active NPI
Alecia Lee Michael, RBT
- Behavior Technician
- Panama City, FL
National Provider Identifier
1629792775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 213828
- Practice address
- 757 Jenks Ave
Panama City, FL 32401-2529 - Phone
- (850) 624-0076
- NPI assigned
- Oct 3, 2022
- Last updated
- Oct 3, 2022
- 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 Technician | 106S00000X | 213828 | FL | Primary |
Addresses
Primary practice location
757 Jenks Ave
Panama City, FL 32401-2529
Mailing address
1808 Millwood LN
Lynn Haven, FL 32444-3186
Phone (806) 500-6806
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 |
|---|---|---|---|
| 213828 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1629792775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1808 MILLWOOD LN",
"city": "LYNN HAVEN",
"state": "FL",
"postal_code": "324443186",
"telephone_number": "806-500-6806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "757 JENKS AVE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324012529",
"telephone_number": "850-624-0076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAEL",
"first_name": "ALECIA",
"middle_name": "LEE",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-03",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "213828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Panama City, FL
- Michael H McCormick M D P a
- Michael L Adams MD LLC
- Michael W Reed MD PA
- Michael W. Hennigan, P.a.
- Michael X Rohan MD PA
- Gordon L Michaels
- Jessica Michaelsen
- Christopher Stephen Michaelson, DO
- Michelle Hines Bautista Arnp Inc (The Hormone and Wellness Center)
- Mid-South Home Care Services, LLC (Gentiva Respiratory Services & HME)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.