Amanda Beth Alexander

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-46337 Issued in SC

Practice address

2601 Kim Miller Rd
Lake Toxaway, NC 28747-6777

Phone

(843) 475-0089

NPI assigned

Aug 30, 2018

Last updated

Dec 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702771200000",
    "number": "1962984666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 KIM MILLER RD",
            "city": "LAKE TOXAWAY",
            "state": "NC",
            "postal_code": "287476777",
            "telephone_number": "843-475-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 KIM MILLER RD",
            "city": "LAKE TOXAWAY",
            "state": "NC",
            "postal_code": "287476777",
            "telephone_number": "843-475-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "AMANDA",
        "middle_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2023-12-17",
        "certification_date": "2023-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "SC",
            "license": "1-20-46337",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "SC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandler Kay Bartol, ATC
• Ashley Brown, MSW, LCSW, LCAS
• James Raymond Buehler, MD
• Erin R Cantalini
• Vicky Leigh Cooke-Thornton, ANP-C

• Behavior Analyst in Lake Toxaway, NC
• Providers in Lake Toxaway, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2023; 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.