Provider Demographics
NPI:1710699723
Name:DUPLANTIS, ALEXANDRA MARYLAND (BCBA)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:MARYLAND
Last Name:DUPLANTIS
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:MARYLAND
Other - Last Name:MIRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:7500 SAN FELIPE ST STE 990
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-1708
Mailing Address - Country:US
Mailing Address - Phone:281-826-3382
Mailing Address - Fax:425-491-7683
Practice Address - Street 1:7485 PHELAN BLVD
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-5748
Practice Address - Country:US
Practice Address - Phone:409-842-9898
Practice Address - Fax:409-745-8104
Is Sole Proprietor?:No
Enumeration Date:2022-12-21
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst