| NPI | 1942572748 |
|---|---|
| Former Name | ALEXANDRA TELK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-16-21339) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2023-07-12 |