Individual
ALEXANDRIA ETHRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 CEDAR HILL ST STE 200, MARLBOROUGH, MA 01752-5900
(910) 524-0717
Mailing address
7707 BERNADETTE LN, RALEIGH, NC 27615-5003
(910) 524-0717
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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