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General NPI Number Information
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NPI Number | 1720832108
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Entity Type | Individual
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Provider Name | ALEXANDRIA MARIE ALVARADO RBT
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Gender | Female
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Dates
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Enumeration Date | 04/12/2024
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Last Update Date | 04/12/2024
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Provider Practice Location Address
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Address Line | 23413 OAK HILL DR
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City | MONTE ALTO
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State | TX
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Zip | 78538-3446
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Country | US
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Telephone | 956-250-8299
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Fax |
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Provider Business Mailing Address
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Address Line | 1323 W MCKINNEY AVE STE 3
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City | ALAMO
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State | TX
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Zip | 78516-0590
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Country | US
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Telephone | 956-520-5316
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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 | 4675
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License Number State | TX
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