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NPI Code Detail

MEDICARE: ALEXANDRA IBARRA

MEDICARE:   ALEXANDRA  IBARRA
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
1106S00000XBehavior Technician1396676CO

General Provider Information

NPI Number : 1609742733
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA IBARRA
Provider Business Mailing Address
First Line : 2241 PARK CENTRE DR APT 4206
Second Line :
City : WESTMINSTER
State : CO
Zip : 80234-5615
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2241 PARK CENTRE DR APT 4206
Second Line :
City : WESTMINSTER
State : CO
Zip : 80234-5615
Country : US
Telephone Number : 303-243-2933
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2025
Last Update Date : 10/15/2025

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Directions to “ ALEXANDRA IBARRA ” Practice Location

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