Individual provider Active NPI

Alexandra Ewald, BCBA

  • Behavior Analyst
  • Saint Louis, MO
National Provider Identifier
1679164628
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
25-82369 Issued in MO
Practice address
9374 Olive Blvd
Saint Louis, MO 63132-3267
Phone
(314) 932-2402
Fax
(314) 666-9770
NPI assigned
Feb 2, 2021
Last updated
Oct 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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 25-82369 MO Primary

Addresses

Primary practice location

9374 Olive Blvd
Saint Louis, MO 63132-3267

Mailing address

300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Phone (407) 807-7798

Other practice location 1

3831 W Vine St Ste 60
Kissimmee, FL 34741-4650
Phone (407) 584-3319

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
25-82369FLMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Basics, Incorporated CurrentSince Jan 21, 2024 Accepting new patients
Behavior Basics, Incorporated Behavior Analyst CurrentSince Jan 21, 2024 Accepting new patients

Locations

1887 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (772) 219-1339

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1679164628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 INTERNATIONAL PKWY STE 200",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465028",
            "telephone_number": "407-807-7798",
            "fax_number": "407-588-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9374 OLIVE BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323267",
            "telephone_number": "314-932-2402",
            "fax_number": "314-666-9770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3831 W Vine St Ste 60",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347414650",
            "country_code": "US",
            "telephone_number": "407-584-3319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EWALD",
        "first_name": "ALEXANDRA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "25-82369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; 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.