MEDICARE: ALEXIA BARNES BCBA

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

General Provider Information

NPI Number	:	1790195915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIA BARNES BCBA

Provider Business Mailing Address
First Line	:	18685 MAIN ST STE 101-459
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92648-1723
Country	:	US
Telephone Number	:	714-697-1907
Fax Number	:	844-904-0895

Provider Business Practice Location Address
First Line	:	18685 MAIN ST STE 101-459
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92648-1723
Country	:	US
Telephone Number	:	714-697-1907
Fax Number	:	844-904-0895

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

Provider Enumeration Date	:	04/28/2014
Last Update Date	:	08/02/2023

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