Individual provider Active NPI

Alexander Robert Haggerty

  • Assistant Behavior Analyst
  • Bradenton, FL
National Provider Identifier
1972210607
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0-25-15915 Issued in FL
Practice address
6351 Rookery Cir
Bradenton, FL 34203-7106
Phone
(860) 519-7855
NPI assigned
Nov 2, 2022
Last updated
Mar 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Assistant Behavior Analyst 106E00000X 0-25-15915 FL Primary

Addresses

Primary practice location

6351 Rookery Cir
Bradenton, FL 34203-7106

Mailing address

6351 Rookery Cir
Bradenton, FL 34203-7106
Phone (860) 519-7855

Other practice location 1

12 Settlers Ln
Clinton, CT 06413-1877
Phone (860) 519-7855

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

NPI Registry JSON

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1972210607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6351 ROOKERY CIR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342037106",
            "telephone_number": "860-519-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6351 ROOKERY CIR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342037106",
            "telephone_number": "860-519-7855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Settlers Ln",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "CT",
            "postal_code": "064131877",
            "country_code": "US",
            "telephone_number": "860-519-7855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGGERTY",
        "first_name": "ALEXANDER",
        "middle_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-02",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-25-15915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.