Healthcare Provider Details

I. General information

NPI: 1235996018
Provider Name (Legal Business Name): ALEXZANDRA MARIE HERNANDEZ AA, RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2024
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1347 N ALMA SCHOOL RD STE 220
CHANDLER AZ
85224-5932
US

IV. Provider business mailing address

1226 W ERIE ST
CHANDLER AZ
85224-4317
US

V. Phone/Fax

Practice location:
  • Phone: 888-754-0398
  • Fax:
Mailing address:
  • Phone: 773-641-6761
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-24-321552
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: