Alexandria Carbajal
Individual provider Active NPI Behavior Technician · Fountain, CO
NPI 1578289005 · NPPES record last updated Jan 23, 2023
Key facts
- NPI
- 1578289005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-23-252556 (CO)
- Practice address
- 319 Mount View LN
Fountain, CO 80817-1727 - Phone
- (719) 424-6472
- NPI assigned
- Oct 17, 2022
- 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 |
|---|---|---|---|
| RBT-23-252556 | CO | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-252556 | CO | Yes |
Addresses
Primary practice location
319 Mount View LN
Fountain, CO 80817-1727
Mailing address
319 Mount View LN
Fountain, CO 80817-1727
Phone (719) 424-6472
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790211605 | Medicaid | CO |
Other providers in Fountain, CO
- Jennifer Bush
- James Caddali
- Sharonda Camacho Jones
- Aspen B Campbell
- Cristina Campos-Krumholz
- Natalia Cardenas
- Ashley Carnahan
- Tammy Lynn Carney
- Claire Carpenter
- Kindee Lynn Carter
All providers in Fountain, CO · Behavior Technician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2023. 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.