Individual provider Active NPI

Alexis Corinne Normandeau, ME

  • Behavior Analyst
  • Longview, WA
National Provider Identifier
1861956492
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA.BA.70064166 Issued in WA
Practice address
1105D 15TH Ave
#123
Longview, WA 98632-3080
Phone
(185) 583-2672
NPI assigned
Jan 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X LBA.BA.70064166 WA Primary

Addresses

Primary practice location

1105D 15TH Ave
#123
Longview, WA 98632-3080

Mailing address

19600 NE 3Rd St Apt 23a
Camas, WA 98607-7807
Phone (360) 609-6745

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
Credentials
Master of Engineering

State licenses

LicenseStateTypeSpecialty
LBA.BA.70064166WAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1861956492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19600 NE 3RD ST APT 23A",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077807",
            "telephone_number": "360-609-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105D 15TH AVE",
            "address_2": "#123",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323080",
            "telephone_number": "185-583-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMANDEAU",
        "first_name": "ALEXIS",
        "middle_name": "CORINNE",
        "name_prefix": "Mrs.",
        "credential": "ME",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "LBA.BA.70064166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.