Alexa Kaitlyn Bermudez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

424 Peninsula Ave
San Mateo, CA 94401-1653

Phone

(650) 286-4396

NPI assigned

Dec 6, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1659187458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9980 LEDGESIDE ST",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919777040",
            "telephone_number": "619-867-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 PENINSULA AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944011653",
            "telephone_number": "650-286-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMUDEZ",
        "first_name": "ALEXA",
        "middle_name": "KAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-06",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-24-392266",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jsilva@classaba.com",
            "affiliation": "N",
            "endpointDescription": "Intake Specialist Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "424 Peninsula Ave",
            "city": "San Mateo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "944011653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sandra Beretta, MD
• Johanna Bergh, DPT
• David F Berke, PH.D.
• Gary M Berke, MS, CP
• Jessica Berman
• Robert Jose Bermudez
• Bruce H Bern, M.D.
• Jessica Bernal
• Natalie Coreas Bernal, BA
• Katherine Bernales, OTR/L, CLT

• Behavior Technician in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.

Verify at the official NPI Registry.