Provider Demographics
NPI:1720832108
Name:ALVARADO, ALEXANDRIA MARIE (RBT)
Entity Type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:MARIE
Last Name:ALVARADO
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1323 W MCKINNEY AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:ALAMO
Mailing Address - State:TX
Mailing Address - Zip Code:78516-0590
Mailing Address - Country:US
Mailing Address - Phone:956-520-5316
Mailing Address - Fax:
Practice Address - Street 1:23413 OAK HILL DR
Practice Address - Street 2:
Practice Address - City:MONTE ALTO
Practice Address - State:TX
Practice Address - Zip Code:78538-3446
Practice Address - Country:US
Practice Address - Phone:956-250-8299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-12
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4675103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst