Individual
MS. ALEXA MATTIACCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS.ED
Contact information
Practice address
63 77TH ST, BROOKLYN, NY 11209-2920
(917) 355-5908
Mailing address
63 77TH ST, BROOKLYN, NY 11209-2920
(917) 355-5908
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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