MEDICARE: ALEXANDRIA MACDONALD

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-25-407054	IN

General Provider Information

NPI Number	:	1598618514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRIA MACDONALD

Provider Business Mailing Address
First Line	:	310 WINCHESTER AVE
Second Line	:
City	:	LAFAYETTE
State	:	IN
Zip	:	47909-6738
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8063 MADISON AVE STE 544
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46227-6001
Country	:	US
Telephone Number	:	463-219-1455
Fax Number	:

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

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

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Directions to “ ALEXANDRIA MACDONALD ” Practice Location

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