Healthcare Provider Details

I. General information

NPI: 1891636122
Provider Name (Legal Business Name): ALEXANDRIA MCFARLANE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

7108 S KANNER HWY
STUART FL
34997-7462
US

IV. Provider business mailing address

5776 NW WESLEY RD
PORT ST LUCIE FL
34986-4210
US

V. Phone/Fax

Practice location:
  • Phone: 772-349-6317
  • Fax:
Mailing address:
  • Phone: 772-480-4929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-525714
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: