Provider Demographics
NPI:1578127528
Name:TAYLOR, ALEXANDRA E (RBT)
Entity Type:Individual
Prefix:MS
First Name:ALEXANDRA
Middle Name:E
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16717 US HIGHWAY 17 N STE 210
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:NC
Mailing Address - Zip Code:28443-3696
Mailing Address - Country:US
Mailing Address - Phone:910-599-2230
Mailing Address - Fax:910-406-1255
Practice Address - Street 1:16717 US HIGHWAY 17 N STE 210
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:NC
Practice Address - Zip Code:28443-3696
Practice Address - Country:US
Practice Address - Phone:910-599-2230
Practice Address - Fax:910-406-1255
Is Sole Proprietor?:No
Enumeration Date:2019-04-25
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician