Healthcare Provider Details

I. General information

NPI: 1851943518
Provider Name (Legal Business Name): ALBA ALVAREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2019
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3415 W POINT DR
HOLLYWOOD FL
33026-3792
US

IV. Provider business mailing address

3415 W POINT DR
HOLLYWOOD FL
33026-3792
US

V. Phone/Fax

Practice location:
  • Phone: 954-826-8774
  • Fax:
Mailing address:
  • Phone: 305-822-7202
  • Fax: 305-587-2729

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-2833910
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: