Individual
VICTOR XAVIER ALICEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 CAROL CT, PROVIDENCE, RI 02909-1702
(401) 327-4649
Mailing address
25 CAROL CT, PROVIDENCE, RI 02909-1702
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
RI
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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