Individual
ALEXANDRA CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12746 CIMARRON PATH STE 103C, SAN ANTONIO, TX 78249-3420
(210) 239-0040
Mailing address
12746 CIMARRON PATH STE 103C, SAN ANTONIO, TX 78249-3420
(210) 872-2317
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861055873
NPI
—
Enumeration date
04/16/2019
Last updated
03/16/2022
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