Sandra Alfonso

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB644222 Issued in FL

Practice address

8726 NW 107TH Ter
Hialeah Gardens, FL 33018-4613

Phone

(786) 523-2915

NPI assigned

Nov 16, 2021

Last updated

Nov 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1215693056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8726 NW 107TH TER",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184613",
            "telephone_number": "786-523-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8726 NW 107TH TER",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184613",
            "telephone_number": "786-523-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFONSO",
        "first_name": "SANDRA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "BACB644222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BACB644222",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Sandraalfonso58@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8726NW 107TER",
            "city": "Hialeah Gardens",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Guiglola Alexandra Alba
• Aldo Surgical & Hospital Supply, Inc.
• Martha Alfaro, MFT
• Gladys Alfonso Pacheco
• Lester Jesus Alfonso Portales
• Alonso Health Care Services LLC
• Edmagnolia Alonso Vega
• Adrian Alonso
• Alisbel Alonso
• Josefina M. Alonso

• Behavior Technician in Hialeah Gardens, FL
• Providers in Hialeah Gardens, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.