Individual
ALEXANDRA C MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
417 LIBERTY ST, SPRINGFIELD, MA 01104-3736
(413) 747-0705
Mailing address
417 LIBERTY ST, SPRINGFIELD, MA 01104-3736
(413) 747-0705
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
08/31/2021
Last updated
09/04/2025
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