MEDICARE: ALEXANDER FIGUEROA

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	106S00000X	Behavior Technician	RBT-19-102889	OK

General Provider Information

NPI Number	:	1447872940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER FIGUEROA

Provider Business Mailing Address
First Line	:	2704 FENNEL RD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73128-1034
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2704 FENNEL RD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73128-1034
Country	:	US
Telephone Number	:	571-264-2957
Fax Number	:

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

Provider Enumeration Date	:	05/07/2020
Last Update Date	:	04/27/2021

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Directions to “ ALEXANDER FIGUEROA ” Practice Location

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