Individual
ALEXIS NICOLE LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 OAK ST, NEWTON UPPER FALLS, MA 02464-1492
(617) 658-5611
Mailing address
1 CLARK RD, PEABODY, MA 01960-2511
(978) 513-5318
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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