Alexus Shontel Bryant

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

351 Wagoner Dr
Fayetteville, NC 28303-4608

Phone

(910) 491-0061

NPI assigned

Feb 22, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1841884848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 CRIMSON WAY APT E",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283063690",
            "telephone_number": "910-578-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 WAGONER DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034608",
            "telephone_number": "910-491-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "ALEXUS",
        "middle_name": "SHONTEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lula Covell Brunson, MSW, LCSW
• Zachery Brupbacher, DPM
• Dustin Edgar Bryan, PHARMD
• Martha Allison Turpin Bryan, DMD
• William C Bryan, PHARMD, BCPS
• Breanna Kristi Bryant, BCBA
• Dawn A Bryant, CRNA
• Kate Elizabeth Bryant, PA
• Michael Steven Bryant, MD
• Sarah Michelle Bryant

• Behavior Technician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Behavior Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.