Qituwra Alexander

Individual provider Active NPI Behavior Technician · Riverdale, GA

NPI 1043064538 · NPPES record last updated Apr 12, 2024

Key facts

NPI
1043064538
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
642 Briar Hill LN Apt D
Riverdale, GA 30274-1525
Phone
(678) 818-5627
NPI assigned
Apr 12, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

642 Briar Hill LN Apt D
Riverdale, GA 30274-1525

Mailing address

207 Upper Riverdale Rd SW
Riverdale, GA 30274-2585

Other providers in Riverdale, GA

All providers in Riverdale, GA · Behavior Technician in Georgia

Sources for this page

Verify at the official NPI Registry.