Individual
ALEXIS KITSAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
229 STEDMAN ST, LOWELL, MA 01851-2705
(978) 677-6952
(978) 856-3110
Mailing address
90 E MAIN ST, MERRIMAC, MA 01860-1612
(978) 994-1786
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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