Alexandra Marie Berry, MA BCBA LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BA-616 Issued in HI

Practice address

98-820 Moanalua Rd SPC 5
Aiea, HI 96701-5200

Phone

(808) 845-6080

NPI assigned

Dec 22, 2017

Last updated

Jan 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1513900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641081600000",
    "number": "1750897005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-820 MOANALUA RD SPC 5",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-820 MOANALUA RD SPC 5",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015200",
            "telephone_number": "808-845-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "ALEXANDRA",
        "middle_name": "MARIE",
        "credential": "MA BCBA LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-22",
        "last_updated": "2022-01-02",
        "certification_date": "2022-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "BA-616",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Benge
• Starr Danielle Benscoter
• Zachary Kingsley Berman, DMD
• Bernadette B. Heid, Psy.D., a Professional Psychology Corporatio
• Andrea Marcella Bernhard, M.D.
• Beshara Psychological Services LLC
• Edward David Bieda, PSY D.
• Glenn Mamo Biven, DDS MS
• Cavillea Blake
• Joseph Blattert

• Behavior Analyst in Aiea, HI
• Providers in Aiea, HI by specialty
• Behavior Analyst in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2022; 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.