Individual
ALEXA NICOLE BRUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1553 CHESTER PIKE, CRUM LYNNE, PA 19022-1022
(215) 645-5408
Mailing address
328 DARLINGTON RD, MEDIA, PA 19063-5504
(215) 888-7462
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-70614
PA
Other
Enumeration date
11/25/2020
Last updated
06/26/2024
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