Active NPI
Alexandra Ridgway
- Behavior Analyst
- Omaha, NE
National Provider Identifier
1790383537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 61483411
- Practice address
- 15808 W Dodge Rd Ste 200D
Omaha, NE 68118-2050 - Phone
- (402) 266-6667
- NPI assigned
- Oct 14, 2020
- Last updated
- Sep 4, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 61483411 | WA | Primary |
Addresses
Primary practice location
15808 W Dodge Rd Ste 200D
Omaha, NE 68118-2050
Mailing address
829 W Desert Vis
Lincoln, NE 68523-9090
Phone (360) 972-6181
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 |
|---|---|---|---|
| 61483411 | WA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Basics NW LLC | Behavior Analyst | Current | Accepting new patients |
| Basics Northwest | Past | Accepting new patients |
Locations
320 6th St
Raymond, WA 98577
Phone (360) 280-4414
1890 Barnes Blvd SW
Tumwater, WA 98512
Organizations & group practices 2
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
- Raymond, WA
- NPI 1073864849
-
- Community/Behavioral Health Agency
- Lacey, WA
- NPI 1396179545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756944000000",
"number": "1790383537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "829 W DESERT VIS",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685239090",
"telephone_number": "360-972-6181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15808 W DODGE RD STE 200D",
"city": "OMAHA",
"state": "NE",
"postal_code": "681182050",
"telephone_number": "402-266-6667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDGWAY",
"first_name": "ALEXANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-14",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WA",
"license": "61483411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.