Healthcare Provider Details

I. General information

NPI: 1215852868
Provider Name (Legal Business Name): ALEXANDRIA LUCARELLIE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3910 S ALMA SCHOOL RD STE 1
CHANDLER AZ
85248-4498
US

IV. Provider business mailing address

20987 N JOHN WAYNE PKWY STE B104
MARICOPA AZ
85139-2926
US

V. Phone/Fax

Practice location:
  • Phone: 602-926-7200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: