Healthcare Provider Details

I. General information

NPI: 1215768825
Provider Name (Legal Business Name): MRS. ALEXA DENISE BIGGS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2024
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1936 ROSS CLARK CIR
DOTHAN AL
36301-5750
US

IV. Provider business mailing address

1046 8TH AVE
GRACEVILLE FL
32440-2332
US

V. Phone/Fax

Practice location:
  • Phone: 334-699-1935
  • Fax: 334-699-1936
Mailing address:
  • Phone: 405-423-7800
  • Fax: 334-699-1936

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number2026-101
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: