Individual provider Active NPI

Alexandra Jose Fajardo Gil, MA

  • Behavior Analyst
  • Pembroke Pines, FL
National Provider Identifier
1649713082
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
12688377 Issued in FL
Practice address
3030 SW 122ND Ave Apt 307
Pembroke Pines, FL 33025-5834
Phone
(305) 721-4211
NPI assigned
Dec 1, 2016
Last updated
May 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 12688377 FL Primary
Assistant Behavior Analyst 106E00000X 02011550 FL

Addresses

Primary practice location

3030 SW 122ND Ave Apt 307
Pembroke Pines, FL 33025-5834

Mailing address

3030 SW 122ND Ave Apt 307
Pembroke Pines, FL 33025-5834
Phone (305) 721-4211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
12688377FLMDBehavioral Analyst
02011550FLMDAssistant Behavior Analyst

NPI Registry JSON

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

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1649713082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 SW 122ND AVE APT 307",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330255834",
            "telephone_number": "305-721-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 SW 122ND AVE APT 307",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330255834",
            "telephone_number": "305-721-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAJARDO GIL",
        "first_name": "ALEXANDRA",
        "middle_name": "JOSE",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-01",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "12688377",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "02011550",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.