Provider Demographics
NPI:1972233617
Name:WEBB, ALEXANDRA DAVIS (LBA)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:DAVIS
Last Name:WEBB
Suffix:
Gender:F
Credentials:LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609B WACO DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-1230
Mailing Address - Country:US
Mailing Address - Phone:615-339-5739
Mailing Address - Fax:
Practice Address - Street 1:7146 NOLENSVILLE RD
Practice Address - Street 2:
Practice Address - City:NOLENSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37135-9585
Practice Address - Country:US
Practice Address - Phone:615-238-6150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-15
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1012103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst