Healthcare Provider Details

I. General information

NPI: 1265159834
Provider Name (Legal Business Name): ALEJANDRA I ALCANTAR BCABA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2022
Last Update Date: 07/27/2025
Certification Date: 07/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 S UNIVERSITY BLVD
MOBILE AL
36609-7858
US

IV. Provider business mailing address

945 SCHILLINGER RD S APT 1102
MOBILE AL
36695-9838
US

V. Phone/Fax

Practice location:
  • Phone: 251-340-2020
  • Fax:
Mailing address:
  • Phone: 619-761-3218
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberBCBA842327
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-25-16316
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: