Medalia Alexis Heatley

NPI #1851960371 in Springfield, Massachusetts

Provider Information

NPI Number: 1851960371
Entity Type: Individual
Name: Medalia Alexis Heatley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 19, 2021
Last Updated: Jun 19, 2021

Practice Location

Address: 77 CENTRAL ST
City: Springfield
State: Massachusetts
ZIP Code: 01105-2363
Phone: (413) 273-2995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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