Active NPI
Alexandra Morales
- Behavior Technician
- Odessa, FL
National Provider Identifier
1659891034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 16414 Lake Church Dr
Odessa, FL 33556-2637 - Phone
- (813) 205-2715
- NPI assigned
- Jun 26, 2017
- 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 | Primary |
Addresses
Primary practice location
16414 Lake Church Dr
Odessa, FL 33556-2637
Mailing address
812 Poplarwood LN
Kissimmee, FL 34743-8816
Phone (407) 791-1891
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017475600 | Medicaid | FL |
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 |
|---|---|---|---|
| My Ba Therapy Center Inc. | Past | Accepting new patients | |
| Blueheart Behavioral Services for Kids LLC | Past | Accepting new patients | |
| My Ba Therapy Center Inc. | Past | Accepting new patients | |
| My Ba Therapy Center Inc. | Past | Accepting new patients |
Organizations & group practices 4
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.
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- Behavior Analyst
- Saint Cloud, FL
- NPI 1104494327
-
- Behavior Analyst
- Kissimmee, FL
- NPI 1326588781
-
- Behavior Analyst
- Kissimmee, FL
- NPI 1952066888
-
- Behavior Analyst
- Kissimmee, FL
- NPI 1962167890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498435200000",
"number": "1659891034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 POPLARWOOD LN",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347438816",
"telephone_number": "407-791-1891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16414 LAKE CHURCH DR",
"city": "ODESSA",
"state": "FL",
"postal_code": "335562637",
"telephone_number": "813-205-2715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORALES",
"first_name": "ALEXANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-26",
"last_updated": "2017-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "017475600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Odessa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.