Healthcare Provider Details
I. General information
NPI: 1447742986
Provider Name (Legal Business Name): ALEJANDRA ZAPATA-CHAUX
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/31/2018
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4611 SE 100TH PL
BELLEVIEW FL
34420-3013
US
IV. Provider business mailing address
10252 SE US HIGHWAY 441 UNIT 3
BELLEVIEW FL
34420-7822
US
V. Phone/Fax
- Phone: 352-559-2539
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: