Healthcare Provider Details

I. General information

NPI: 1902733710
Provider Name (Legal Business Name): ALEJANDRA E CHAVEZ MESSNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 LILAC ST APT 1
LONGVIEW WA
98632-3528
US

IV. Provider business mailing address

1206 18TH AVE APT 1
LONGVIEW WA
98632-2936
US

V. Phone/Fax

Practice location:
  • Phone: 360-369-8845
  • Fax:
Mailing address:
  • Phone: 360-369-8845
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberCBT.CB.70108240
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: