Individual
MS. ALEXA RAE INA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
100 CUMMINGS CTR, BEVERLY, MA 01915-6115
(978) 969-0083
Mailing address
100 CUMMINGS CTR, BEVERLY, MA 01915-6115
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37394
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/09/2017
Last updated
01/08/2021
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