Healthcare Provider Details

I. General information

NPI: 1033065792
Provider Name (Legal Business Name): ALEXA GALE-CROYLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 KARAS TRL UNIT A
PALM COAST FL
32164-5638
US

IV. Provider business mailing address

13 KARAS TRL UNIT A
PALM COAST FL
32164-5638
US

V. Phone/Fax

Practice location:
  • Phone: 970-744-9485
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-495048
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: