Individual
ALEXIS RICCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED, LBS
Contact information
Practice address
126 BEECHWOOD RD, NEWTOWN SQUARE, PA 19073-3805
(610) 937-0649
Mailing address
126 BEECHWOOD RD, NEWTOWN SQUARE, PA 19073-3805
(610) 937-0649
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH004169
PA
Other
Enumeration date
03/15/2019
Last updated
03/15/2019
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