Maejuan Kara'Shea Alexander
Individual provider Active NPI Behavior Technician · Saint Augustine, FL
NPI 1104769017 · NPPES record last updated May 8, 2026
Key facts
- NPI
- 1104769017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- A2279172940000 (FL)
- Practice address
- 124 Capulet Dr Ste 102
Saint Augustine, FL 32092-4538 - Phone
- (904) 429-3859
- Fax
- (904) 429-4416
- NPI assigned
- Apr 14, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A2279172940000 | FL | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | A2279172940000 | FL | Yes |
Addresses
Primary practice location
124 Capulet Dr Ste 102
Saint Augustine, FL 32092-4538
Mailing address
300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Phone (866) 610-0580
Other providers in Saint Augustine, FL
- Kevin Alen
- Emili-Erin Elizabeth Alexander
- Heather Alexander
- James Alexander
- Keshonda Alexander
- Syed Wasim Ali
- All About Feet & Legs, PA
- All American Acupuncture
- All City Family Health Corp
- Edward Allard
All providers in Saint Augustine, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.