Individual
ALEXA DIMESTICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
80 WASHINGTON ST STE P55, NORWELL, MA 02061-1742
(781) 878-3614
Mailing address
363 CHESTNUT FARM WAY, RAYNHAM, MA 02767-1581
(508) 850-5868
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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