Healthcare Provider Details

I. General information

NPI: 1447933601
Provider Name (Legal Business Name): JOSHUA NELSON ALVARADO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2023
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7441 114TH AVE STE 604
LARGO FL
33773-5124
US

IV. Provider business mailing address

14500 N 46TH ST UNIT 411-A
TAMPA FL
33613-3154
US

V. Phone/Fax

Practice location:
  • Phone: 727-492-5369
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-26-16915
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: