Alexzandra Benefield Puckett
Behavior Technician in San Jose, CA. Individual provider (NPI-1).
NPI number1659985752
StatusActive
Last updated in NPPESSep 4, 2020
Details
- NPI
- 1659985752
- Entity type
- Individual (NPI-1)
- Name
- Alexzandra Benefield Puckett
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 4, 2020
- Certification date
- Sep 2, 2020
- Last updated
- Sep 4, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1485 Saratoga AveSan Jose, CA 95129-4965
Phone 818-241-6780
Mailing address
1055 E Colorado Blvd Ste 560Pasadena, CA 91106-2380
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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