Alpha Industries LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ALPHA INDUSTRIES LLC

Practice address

2115 SE Holland Street
Port St. Lucie, FL 34952

Phone

(915) 219-1467

NPI assigned

Jan 22, 2024

Last updated

Jan 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timotheus Tyrun Jenkins

Title

Ceo

Phone

(915) 352-3093

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sara Ann Wickenheiser, M.ED., BCBA

  • Behavior Analyst
  • Jupiter, FL
  • NPI 1861943581
  NPD

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1699536177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 SE HOLLAND STREET",
            "city": "PORT ST. LUCIE",
            "state": "FL",
            "postal_code": "34952",
            "telephone_number": "915-219-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 SE HOLLAND STREET",
            "city": "PORT ST. LUCIE",
            "state": "FL",
            "postal_code": "34952",
            "telephone_number": "915-219-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA INDUSTRIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "TIMOTHEUS",
        "authorized_official_middle_name": "TYRUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "915-352-3093"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Allen
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• Adelle Altidor
• Scott E Altschuler, MD

• Behavior Analyst in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.