Individual
ALEXA R BEZJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 CONCORD ST STE 1, WILMINGTON, MA 01887-2179
(781) 694-8787
Mailing address
60 CONCORD ST STE 1, WILMINGTON, MA 01887-2179
(781) 694-8787
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
01/04/2022
Last updated
01/04/2022
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