Individual provider Active NPI

Alexandria Teresa Thomas, RBT

  • Behavior Technician
  • Kissimmee, FL
National Provider Identifier
1669165189
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23276136 Issued in FL
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

Updated by the provider on May 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RBT-23276136FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
D&Y Miracle Kids ABA Therpy Corp CurrentSince Jun 4, 2023 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.

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.

Verify at the official NPI Registry.