Healthcare Provider Details

I. General information

NPI: 1275453045
Provider Name (Legal Business Name): ALEXANDRA DIAZ RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 FM 685 STE 420
PFLUGERVILLE TX
78660-7103
US

IV. Provider business mailing address

701 FM 685 STE 420
PFLUGERVILLE TX
78660-7103
US

V. Phone/Fax

Practice location:
  • Phone: 408-724-7486
  • Fax: 408-724-7486
Mailing address:
  • Phone: 408-724-7486
  • Fax: 408-724-7486

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number262830498
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: