Healthcare Provider Details

I. General information

NPI: 1932607280
Provider Name (Legal Business Name): ALEJANDRA HIGUERA MONTANO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2018
Last Update Date: 08/18/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2141 PALOMAR AIRPORT RD STE 350
CARLSBAD CA
92011-1451
US

IV. Provider business mailing address

2141 PALOMAR AIRPORT RD STE 350
CARLSBAD CA
92011-1451
US

V. Phone/Fax

Practice location:
  • Phone: 760-710-2460
  • Fax: 855-864-1491
Mailing address:
  • Phone: 760-710-2460
  • Fax: 855-864-1491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-22-62809
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: