MEDICARE: ALEXANDRIA DELLARINGA BCBA, LBA

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
1	103K00000X	Behavior Analyst	6469	TX
2	103K00000X	Behavior Analyst	398	NC
3	106S00000X	Behavior Technician	RBT-17-31213
4	103K00000X	Behavior Analyst	1-19-35446

General Provider Information

NPI Number	:	1376034108
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRIA DELLARINGA BCBA, LBA

Provider Business Mailing Address
First Line	:	1601 S MOPAC EXPY STE C300
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78746-7077
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6108 S RICE AVE STE B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-2983
Country	:	US
Telephone Number	:	281-839-2660
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2018
Last Update Date	:	04/30/2024

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