MEDICARE: ALEXANDRA FLETCHER

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	103K00000X	Behavior Analyst		AZ

General Provider Information

NPI Number	:	1215495676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA FLETCHER

Provider Business Mailing Address
First Line	:	1000 S GILBERT RD APT 2121
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85296-0450
Country	:	US
Telephone Number	:	206-617-3222
Fax Number	:

Provider Business Practice Location Address
First Line	:	4240 S ARIZONA AVE STE 1039
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85248-4593
Country	:	US
Telephone Number	:	602-935-9185
Fax Number	:

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

Provider Enumeration Date	:	03/05/2019
Last Update Date	:	02/02/2026

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Directions to “ ALEXANDRA FLETCHER ” Practice Location

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