Active NPI
Alexis Danielle Agers, MA, BCBA
- Behavior Analyst
- Raeford, NC
National Provider Identifier
1669121950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 3567
- Practice address
- 209 Flagstone LN
Raeford, NC 28376 - Phone
- (516) 703-6400
- NPI assigned
- Mar 22, 2022
- Last updated
- Nov 24, 2025
- 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 Analyst | 103K00000X | 3567 | NC | Primary |
Addresses
Primary practice location
209 Flagstone LN
Raeford, NC 28376
Mailing address
122 Hickman CT
Raeford, NC 28376-9624
Phone (616) 819-9394
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3567 | NC | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763942400000",
"number": "1669121950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 HICKMAN CT",
"city": "RAEFORD",
"state": "NC",
"postal_code": "283769624",
"telephone_number": "616-819-9394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 FLAGSTONE LN",
"city": "RAEFORD",
"state": "NC",
"postal_code": "28376",
"telephone_number": "516-703-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGERS",
"first_name": "ALEXIS",
"middle_name": "DANIELLE",
"credential": "MA, BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-22",
"last_updated": "2025-11-24",
"certification_date": "2025-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "3567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raeford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.