MEDICARE: LIXANDRA ALONSO GAMEZ

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-23-301789	FL
2	103K00000X	Behavior Analyst	1-25-86386	FL

General Provider Information

NPI Number	:	1417738428
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIXANDRA ALONSO GAMEZ

Provider Business Mailing Address
First Line	:	3040 NW 97TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33147-2352
Country	:	US
Telephone Number	:	786-821-6332
Fax Number	:

Provider Business Practice Location Address
First Line	:	8300 W FLAGLER ST STE 170
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-2098
Country	:	US
Telephone Number	:	786-633-5171
Fax Number	:	786-558-9279

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

Provider Enumeration Date	:	10/06/2023
Last Update Date	:	12/09/2025

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Directions to “ LIXANDRA ALONSO GAMEZ ” Practice Location

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