Healthcare Provider Details

I. General information

NPI: 1093635294
Provider Name (Legal Business Name): ALEKSANDRA KUNAT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28682 N MAIN ST
SAN TAN VALLEY AZ
85143-6465
US

IV. Provider business mailing address

826 BAY RIDGE AVE APT 3F
BROOKLYN NY
11220-5732
US

V. Phone/Fax

Practice location:
  • Phone: 480-888-7500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: