Individual
ALEXANDRA MAE CICERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
707 N BROADWAY, BALTIMORE, MD 21205-1832
(973) 229-8547
Mailing address
19 BANTA RD, KINNELON, NJ 07405-2514
(973) 407-0197
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
06/25/2022
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