Healthcare Provider Details

I. General information

NPI: 1912657388
Provider Name (Legal Business Name): ALEXANDRIA FRANCO BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2022
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

634 RIVER HWY STE 300
MOORESVILLE NC
28117-9055
US

IV. Provider business mailing address

3158 SWEET ACRES PL
SAINT CLOUD FL
34772-9024
US

V. Phone/Fax

Practice location:
  • Phone: 407-978-1911
  • Fax:
Mailing address:
  • Phone: 407-978-1911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: