Provider Demographics
NPI:1114604386
Name:ZUBIA, ALEXANDRA SUE
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:SUE
Last Name:ZUBIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2098 ELLIE DR
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68803-9616
Mailing Address - Country:US
Mailing Address - Phone:308-391-2310
Mailing Address - Fax:
Practice Address - Street 1:2098 ELLIE DR
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-9616
Practice Address - Country:US
Practice Address - Phone:308-391-2310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-29
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician