Provider Demographics
NPI:1376287359
Name:TEREKHOVA, ALEKSANDRA (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:ALEKSANDRA
Middle Name:
Last Name:TEREKHOVA
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 NICOLES WAY
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19067-5947
Mailing Address - Country:US
Mailing Address - Phone:814-441-6480
Mailing Address - Fax:
Practice Address - Street 1:380 MIDDLETOWN BLVD STE 704
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1845
Practice Address - Country:US
Practice Address - Phone:215-346-6822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-25
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst