Provider Demographics
NPI:1316592124
Name:RICH, ALVIN II
Entity Type:Individual
Prefix:
First Name:ALVIN
Middle Name:
Last Name:RICH
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7608 RED FOX TER
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-3052
Mailing Address - Country:US
Mailing Address - Phone:202-908-8426
Mailing Address - Fax:
Practice Address - Street 1:318 MONTGOMERY ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-1516
Practice Address - Country:US
Practice Address - Phone:571-444-5047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst