Individual
MRS. LAURA MALDONADO ALICEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
C31 AVE APOLO ESQ RUFINO RODRIGUEZ, GUAYNABO, PR 00969
(787) 221-0874
Mailing address
120 MAPLE ST, SPRINGFIELD, MA 01103-2203
(413) 846-0445
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1303295
—
MA
05
—
1307576
—
MA
01
—
M18463
BLUE CROSS BLUE SHIELD
MA
Enumeration date
08/13/2015
Last updated
12/04/2025
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