Provider Demographics
NPI:1548580293
Name:BECKER, ALAINA D (AUD)
Entity Type:Individual
Prefix:
First Name:ALAINA
Middle Name:D
Last Name:BECKER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:ALAINA
Other - Middle Name:D
Other - Last Name:HODGES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:403 VONDERBURG DR STE 101
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-5982
Mailing Address - Country:US
Mailing Address - Phone:813-535-8955
Mailing Address - Fax:813-908-2133
Practice Address - Street 1:403 VONDERBURG DR STE 101
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-5982
Practice Address - Country:US
Practice Address - Phone:813-535-8955
Practice Address - Fax:813-908-2133
Is Sole Proprietor?:No
Enumeration Date:2010-06-04
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1608237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLDM123XMedicare PIN