Healthcare Provider Details

I. General information

NPI: 1043114861
Provider Name (Legal Business Name): ALIKZANDRA BRISBY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9240 N SAM HOUSTON PKWY E STE 110
HUMBLE TX
77396-5141
US

IV. Provider business mailing address

9494 HUMBLE WESTFIELD RD APT 413
HUMBLE TX
77338-5247
US

V. Phone/Fax

Practice location:
  • Phone: 855-782-7822
  • Fax:
Mailing address:
  • Phone: 855-782-7822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-436366
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: