Individual provider Active NPI

Alexandra N Villalobos, BCBA

  • Behavior Analyst
  • San Antonio, TX
National Provider Identifier
1679083240
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-27511 Issued in TX
Practice address
9314 Ryder Dr
San Antonio, TX 78254-2000
Phone
(210) 447-0039
Fax
(210) 579-7100
NPI assigned
Oct 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-17-27511 TX Primary

Addresses

Primary practice location

9314 Ryder Dr
San Antonio, TX 78254-2000

Mailing address

9314 Ryder Dr
San Antonio, TX 78254-2000
Phone (210) 440-0039

Other practice location 1

15911 Nacogdoches Rd
San Antonio, TX 78247-1107
Phone (210) 599-7733

Other practice location 2

15911 Nacogdoches Rd
San Antonio, TX 78247-1107
Phone (210) 599-7733

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

NPI Registry JSON

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1679083240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9314 RYDER DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782542000",
            "telephone_number": "210-440-0039",
            "fax_number": "210-579-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9314 RYDER DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782542000",
            "telephone_number": "210-447-0039",
            "fax_number": "210-579-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15911 Nacogdoches Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782471107",
            "country_code": "US",
            "telephone_number": "210-599-7733",
            "fax_number": "210-599-3105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15911 Nacogdoches Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782471107",
            "country_code": "US",
            "telephone_number": "210-599-7733",
            "fax_number": "210-599-3105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLALOBOS",
        "first_name": "ALEXANDRA",
        "middle_name": "N",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-09",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-17-27511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.