Healthcare Provider Details

I. General information

NPI: 1336739713
Provider Name (Legal Business Name): ALETSIA ARNOLD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/20/2021
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2629 PALMERA RIDGE BLVD BLDG 4
LEANDER TX
78641-6246
US

IV. Provider business mailing address

3440 RANCH TRL APT 3403
CEDAR PARK TX
78613-2451
US

V. Phone/Fax

Practice location:
  • Phone: 188-875-4039
  • Fax:
Mailing address:
  • Phone: 424-395-9542
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: