MEDICARE: ALEXANDRIA LINDSEY

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
1	106S00000X	Behavior Technician	RBT-18-61751	NC
2	103K00000X	Behavior Analyst	17755	NC

General Provider Information

NPI Number	:	1174001325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRIA LINDSEY

Provider Business Mailing Address
First Line	:	1401 E 7TH ST
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28204-6300
Country	:	US
Telephone Number	:	704-708-8314
Fax Number	:	704-708-8315

Provider Business Practice Location Address
First Line	:	301 N MAIN ST STE 2434
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27101-3885
Country	:	US
Telephone Number	:	336-510-7910
Fax Number	:	336-510-9974

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2018
Last Update Date	:	09/02/2025

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Directions to “ ALEXANDRIA LINDSEY ” Practice Location

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