Active NPI
Alexandra Paige Kellas, BCBA
- Behavior Analyst
- Newport News, VA
National Provider Identifier
1750896999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-20-40962
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-17-44279 | VA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Changing Tides Behavioral Therapy LLC | Behavior Analyst | Current | 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.
-
- Behavior Analyst
- Yorktown, VA
- NPI 1538820139
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.