Alexandra Penzell

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

11519459 Issued in TX

Practice address

611 Rockmead Dr
Suite 100
Kingwood, TX 77339-2258

Phone

(281) 713-8980

NPI assigned

Mar 3, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Spectacular Kids ABA Therapy and Consulting, LLC

  • Behavior Analyst
  • Kingwood, TX
  • NPI 1871868125
  NPD (past)
• Spectacular Kids ABA Therapy of Missouri City

  • Behavior Analyst
  • Missouri City, TX
  • NPI 1689043150
  NPD (past)

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1720448707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 ROCKMEAD DR",
            "address_2": "SUITE 100",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392258",
            "telephone_number": "281-713-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 ROCKMEAD DR",
            "address_2": "SUITE 100",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392258",
            "telephone_number": "281-713-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENZELL",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "11519459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Payne, SLP
• Pearl Cosmetic Dentistry, PLLC
• Jasmine Pearson, MA.,LPC, LCDC
• Idelette Blanche Peery, R.N.
• Hyman Penn, M.D.
• Eryn Alexandra Percenti, MD
• Anica A Perez
• Carmen Josefa Perez, MD
• Laura Leticia Pereznegron, APRN
• Performance Orthotics, P.C.

• Behavior Analyst in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.