Individual provider Active NPI

Alycia Edelhauser

  • Behavior Technician
  • Milton, FL
National Provider Identifier
1790443257
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-21-194830 Issued in FL
Practice address
8100 Opportunity Dr Ste B
Milton, FL 32583-8727
Phone
(850) 723-6570
NPI assigned
Dec 2, 2021
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-21-194830 FL Primary

Addresses

Primary practice location

8100 Opportunity Dr Ste B
Milton, FL 32583-8727

Mailing address

8100 Opportunity Dr Ste B
Milton, FL 32583-8727
Phone (850) 723-6570

Other practice location 1

9981 Chemstrand Rd
Pensacola, FL 32514-2702
Phone (850) 723-6570

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-21-194830FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Pensacola Behavior Services Inc Behavior Technician CurrentSince Feb 1, 2023 Accepting new patients
Greater Pensacola Behavior Services Inc PastSince Jul 25, 2021 Accepting new patients

Locations

8100 Opportunity Dr
Ste B
Milton, FL 32583
Phone (850) 723-6570

9981 Chemstrand Rd
Pensacola, FL 32514
Phone (850) 723-6570

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.

NPI Registry JSON

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1790443257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 OPPORTUNITY DR STE B",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325838727",
            "telephone_number": "850-723-6570",
            "fax_number": "850-994-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 OPPORTUNITY DR STE B",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325838727",
            "telephone_number": "850-723-6570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9981 Chemstrand Rd",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325142702",
            "country_code": "US",
            "telephone_number": "850-723-6570",
            "fax_number": "850-994-8443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDELHAUSER",
        "first_name": "ALYCIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-02",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-21-194830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.