Provider Demographics
NPI:1083988042
Name:PERRYMAN, ALEXANDRA CHRISTINE (MA, BCBA, LBS)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:CHRISTINE
Last Name:PERRYMAN
Suffix:
Gender:F
Credentials:MA, BCBA, LBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1835 CENTRE AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-4305
Mailing Address - Country:US
Mailing Address - Phone:412-281-1893
Mailing Address - Fax:
Practice Address - Street 1:1835 CENTRE AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-4305
Practice Address - Country:US
Practice Address - Phone:412-281-1893
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-08
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1-11-9746103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst