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NPI Code Detail

MEDICARE: ALEXANDRA PATRICIA BUENO TUASON BCBA

MEDICARE: ALEXANDRA PATRICIA BUENO TUASON BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-23-65735

General Provider Information

NPI Number : 1063191294
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA PATRICIA BUENO TUASON BCBA
Provider Business Mailing Address
First Line : 1649 61ST ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-2746
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1649 61ST ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-2746
Country : US
Telephone Number : 310-259-1571
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2023
Last Update Date : 01/26/2026

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Directions to “ ALEXANDRA PATRICIA BUENO TUASON BCBA” Practice Location

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