Individual provider Active NPI

Alexandra Paige Kellas, BCBA

  • Behavior Analyst
  • Newport News, VA
National Provider Identifier
1750896999
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-40962 Issued in VA
Practice address
12610 Patrick Henry Dr Ste M
Newport News, VA 23602-9538
Phone
(757) 304-0224
NPI assigned
Dec 11, 2017
Last updated
Jun 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-20-40962 VA Primary
Behavior Technician 106S00000X RBT-17-44279 VA

Addresses

Primary practice location

12610 Patrick Henry Dr Ste M
Newport News, VA 23602-9538

Mailing address

118 Railway Rd
Yorktown, VA 23692-2930
Phone (757) 817-0089

Other practice location 1

12727 McManus BLvd.
Newport News, VA 23602
Phone (757) 817-0089

Other practice location 2

356 McLaws Cir Ste 2
Williamsburg, VA 23185-6345
Phone (757) 817-0089

Other names 1

  • Alexandra Paige Jones Former name

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-17-44279VAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Changing Tides Behavioral Therapy LLC Behavior Analyst CurrentSince Jan 17, 2022 Accepting new patients

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, 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": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1750896999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 RAILWAY RD",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236922930",
            "telephone_number": "757-817-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12610 PATRICK HENRY DR STE M",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236029538",
            "telephone_number": "757-304-0224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12727 McManus BLvd.",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "23602",
            "country_code": "US",
            "telephone_number": "757-817-0089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "356 McLaws Cir Ste 2",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231856345",
            "country_code": "US",
            "telephone_number": "757-817-0089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLAS",
        "first_name": "ALEXANDRA",
        "middle_name": "PAIGE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "1-20-40962",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "VA",
            "license": "RBT-17-44279",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "JONES",
            "middle_name": "PAIGE",
            "credential": "BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.