MEDICARE: ALECSANDRIA S WHITE

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		FL

General Provider Information

NPI Number	:	1992652275
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALECSANDRIA S WHITE

Provider Business Mailing Address
First Line	:	7520 TAURUS CIR W
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32222-2183
Country	:	US
Telephone Number	:	904-434-2881
Fax Number	:

Provider Business Practice Location Address
First Line	:	6196 LAKE GRAY BLVD STE 111
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32244-5867
Country	:	US
Telephone Number	:	904-412-8542
Fax Number	:

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

Provider Enumeration Date	:	03/14/2026
Last Update Date	:	03/14/2026

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Directions to “ ALECSANDRIA S WHITE ” Practice Location

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