Victor Xavier Alicea

Individual provider Active NPI Behavior Technician · Providence, RI

NPI 1043852965 · NPPES record last updated Oct 11, 2019

Key facts

NPI
1043852965
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
25 Carol CT
Providence, RI 02909-1702
Phone
(401) 327-4649
NPI assigned
Oct 11, 2019
Sex
Male
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 RI Yes

Addresses

Primary practice location

25 Carol CT
Providence, RI 02909-1702

Mailing address

25 Carol CT
Providence, RI 02909-1702

Other providers in Providence, RI

All providers in Providence, RI · Behavior Technician in Rhode Island

Sources for this page

Verify at the official NPI Registry.