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NPI Code Detail

MEDICARE: ALEXA CAUDILLO

MEDICARE: ALEXA CAUDILLO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1164354155
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXA CAUDILLO
Provider Business Mailing Address
First Line : 3309 DANIELS LN
Second Line :
City : SOUTH SIOUX CITY
State : NE
Zip : 68776-5104
Country : US
Telephone Number : 574-387-4313
Fax Number :
Provider Business Practice Location Address
First Line : 3309 DANIELS LN
Second Line :
City : SOUTH SIOUX CITY
State : NE
Zip : 68776-5104
Country : US
Telephone Number : 574-387-4313
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ ALEXA CAUDILLO ” Practice Location

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