Healthcare Provider Details

I. General information

NPI: 1871169821
Provider Name (Legal Business Name): ALEXANDRA DORIS HILL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2021
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8001 BEATY GROVE DR
TAMPA FL
33626-1602
US

IV. Provider business mailing address

1314 RAINBOW RD SE
PALM BAY FL
32909-5589
US

V. Phone/Fax

Practice location:
  • Phone: 772-999-4647
  • Fax:
Mailing address:
  • Phone: 772-999-4647
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-25-15843
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-86066
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: