Provider Demographics
NPI:1568742849
Name:MINHAS, ALEXANDRA L (MS, BCBA, LBS)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:L
Last Name:MINHAS
Suffix:
Gender:F
Credentials:MS, BCBA, LBS
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:
Other - Last Name:PRITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:230 HAVERFORD RD
Mailing Address - Street 2:
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-3202
Mailing Address - Country:US
Mailing Address - Phone:215-804-6368
Mailing Address - Fax:
Practice Address - Street 1:230 HAVERFORD RD
Practice Address - Street 2:
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-3202
Practice Address - Country:US
Practice Address - Phone:215-804-6368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-18
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
NJ1-21-46874103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No171M00000XOther Service ProvidersCase Manager/Care Coordinator