Individual
MRS. ALEXANDRIA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
801 BIRCHFIELD DR, MT. LAUREL, NJ 08054
(484) 681-2170
Mailing address
407 GLENN AVE, EGG HARBOR TWP, NJ 08234-6109
(703) 506-0123
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/26/2017
Last updated
01/19/2022
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