Healthcare Provider Details

I. General information

NPI: 1154065316
Provider Name (Legal Business Name): ALEXANDRA ROMERO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2022
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3840 ROSIN CT
SACRAMENTO CA
95834-1639
US

IV. Provider business mailing address

3840 ROSIN CT
SACRAMENTO CA
95834-1639
US

V. Phone/Fax

Practice location:
  • Phone: 916-921-0828
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License NumberC4E61CA74B
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberMPSS-JKCRBQ
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: