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General NPI Number Information
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NPI Number | 1578127528
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Entity Type | Individual
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Provider Name | ALEXANDRA ELAINE TAYLOR MA, BCBA, LBA
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Gender | Female
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Dates
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Enumeration Date | 04/25/2019
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 240 RACINE DRIVE SUITE 100
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City | WILMINGTON
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State | NC
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Zip | 28403
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Country | US
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Telephone | 717-357-7924
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Fax |
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Provider Business Mailing Address
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Address Line | 240 RACINE DR STE 100
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City | WILMINGTON
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State | NC
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Zip | 28403-8703
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Country | US
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Telephone | 910-202-4103
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 3509
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License Number State | NC
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