Individual provider · NPI-1

Brandon Alexander, MS, NCPT, CKM, QMHP

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Newport News, VA

NPI number1194649640
StatusActive
Last updated in NPPESOct 9, 2026

Details

NPI
1194649640
Entity type
Individual (NPI-1)
Name
Mr. Brandon Alexander
Credential
MS, NCPT, CKM, QMHP
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 7, 2026
Certification date
Oct 9, 2026
Last updated
Oct 9, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities0734014849VAYes
251S00000X Community/Behavioral Health0734014849VA
171M00000X Case Manager/Care Coordinator0734014849VA
171W00000X Contractor––
183700000X Pharmacy Technician0245024790VA
106S00000X Behavior Technician0739000111VA

Practice location

7320 Warwick Blvd
Newport News, VA 23607-1514

Phone 301-741-9618

Mailing address

7320 Warwick Blvd
Newport News, VA 23607-1514

Phone 301-741-9618

Other practice locations

530 Independence Pkwy
Chesapeake, VA 23320-5203

Phone 301-741-9618

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