Custodio, Alexa
Custodio, Alexa is an individual health care provider with primary practice located at 144 Main St Ste G , East Hartford CT 06118-3239. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Custodio, Alexa can be contacted via phone (888) 754-0398.Contact Information
Primary practice address
144 Main St Ste G
East Hartford CT 06118-3239
Phone: (888) 754-0398
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1437853959 |
|---|---|
| LBN Legal business name | Custodio, Alexa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2023 |
| Last updated | Mar 28th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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