Provider Demographics
NPI:1588206353
Name:HUVAL, ALEXANDRIA C
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:C
Last Name:HUVAL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:ALEXANDRIA
Other - Middle Name:C
Other - Last Name:STEDMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8655 E VIA DE VENTURA STE E155
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-3354
Mailing Address - Country:US
Mailing Address - Phone:480-596-1686
Mailing Address - Fax:480-483-8455
Practice Address - Street 1:8655 E VIA DE VENTURA STE E155
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-3354
Practice Address - Country:US
Practice Address - Phone:480-596-1686
Practice Address - Fax:480-483-8455
Is Sole Proprietor?:No
Enumeration Date:2019-10-14
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ106S00000X
246ZE0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician