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General NPI Number Information
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NPI Number | 1376409318
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Entity Type | Organization
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Legal Business Name | ALEXANDER LICENSED BEHAVIOR ANALYST PLLC
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Dates
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Enumeration Date | 01/03/2026
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Last Update Date | 01/03/2026
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Provider Practice Location Address
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Address Line | 15 DOLORES CT
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City | BAYPORT
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State | NY
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Zip | 11705-1803
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Country | US
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Telephone | 631-236-8748
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Fax |
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Provider Business Mailing Address
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Address Line | 15 DOLORES CT
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City | BAYPORT
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State | NY
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Zip | 11705-1803
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Country | US
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Telephone | 631-236-8748
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | DAWN MARIE ALEXANDER
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Credential | LBA, BCBA, ADHD-CCSP
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Telephone | 631-236-8748
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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