MEDICARE: ALEJANDRA CORUJO PSYD, LMHC, 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	1-20-42367	FL
2	101YM0800X	Mental Health Counselor	MH19726	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1-20-42367	OTHER	FL	LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MH19726	OTHER	FL	DOH

General Provider Information

NPI Number	:	1942600978
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEJANDRA CORUJO PSYD, LMHC, BCBA

Provider Business Mailing Address
First Line	:	17900 NW 5TH ST STE 103
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33029-2809
Country	:	US
Telephone Number	:	954-388-0800
Fax Number	:	954-645-7755

Provider Business Practice Location Address
First Line	:	17900 NW 5TH ST STE 103
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33029-2809
Country	:	US
Telephone Number	:	954-388-0800
Fax Number	:

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

Provider Enumeration Date	:	08/27/2014
Last Update Date	:	03/19/2026

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Directions to “ ALEJANDRA CORUJO PSYD, LMHC, BCBA” Practice Location

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