Healthcare Provider Details

I. General information

NPI: 1831471804
Provider Name (Legal Business Name): MADDI ALEXANDRA-HAMILTON BEHROUZMAND-STRATTON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ERIC HAMILTON STRATTON

II. Dates (important events)

Enumeration Date: 09/15/2011
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6490 S MCCARRAN BLVD STE A6
RENO NV
89509-6119
US

IV. Provider business mailing address

6490 S MCCARRAN BLVD STE A6
RENO NV
89509-6119
US

V. Phone/Fax

Practice location:
  • Phone: 775-448-9760
  • Fax:
Mailing address:
  • Phone: 775-448-9760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number12666-C
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number132426
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: