Individual
ALEXA JEAN TIVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
491 DUTTON ST UNIT 417, LOWELL, MA 01854-4291
(978) 726-7487
Mailing address
491 DUTTON ST UNIT 417, LOWELL, MA 01854-4291
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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