Provider Demographics
NPI:1568352425
Name:MILLER, ALEZANDRIA LATRICE (BS)
Entity type:Individual
Prefix:
First Name:ALEZANDRIA
Middle Name:LATRICE
Last Name:MILLER
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2620 ALMEDA GENOA RD APT 6210
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77047-0034
Mailing Address - Country:US
Mailing Address - Phone:832-512-4937
Mailing Address - Fax:
Practice Address - Street 1:2743 SMITH RANCH RD STE 704
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-5218
Practice Address - Country:US
Practice Address - Phone:281-215-3985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24-334417106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician