Active NPI
Alexandria Teresa Thomas, RBT
- Behavior Technician
- Kissimmee, FL
National Provider Identifier
1669165189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23276136
- Practice address
- 911 N Main St Ste 6
Kissimmee, FL 34744-4520 - Phone
- (689) 217-4939
- NPI assigned
- May 31, 2023
- 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 | RBT-23276136 | FL | Primary |
Addresses
Primary practice location
911 N Main St Ste 6
Kissimmee, FL 34744-4520
Mailing address
911 N Main St Ste 6
Kissimmee, FL 34744-4520
Phone (689) 217-4939
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 |
|---|---|---|---|
| RBT-23276136 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D&Y Miracle Kids ABA Therpy Corp | Current | Accepting new patients |
Locations
911 N Main St
Ste 6
Kissimmee, FL 34744
Phone (407) 350-4037
Organizations & group practices 1
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.
-
- Behavior Analyst
- Kissimmee, FL
- NPI 1720718182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1669165189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 N MAIN ST STE 6",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347444520",
"telephone_number": "689-217-4939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 N MAIN ST STE 6",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347444520",
"telephone_number": "689-217-4939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "ALEXANDRIA",
"middle_name": "TERESA",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-31",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-23276136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.