Healthcare Provider Details

I. General information

NPI: 1841152394
Provider Name (Legal Business Name): SAVANNAH RENEE ALEXANDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

162 MONROE AVE
LEXINGTON TN
38351-2165
US

IV. Provider business mailing address

551 SMITH AVE
LEXINGTON TN
38351-2428
US

V. Phone/Fax

Practice location:
  • Phone: 731-968-8457
  • Fax:
Mailing address:
  • Phone: 731-733-3412
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: