Provider Demographics
NPI:1497401376
Name:ALEXANDER, CHERYL DENISE (TEACHER)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:DENISE
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:TEACHER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8333 AUSTIN ST APT 3M
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-1813
Mailing Address - Country:US
Mailing Address - Phone:718-441-3177
Mailing Address - Fax:
Practice Address - Street 1:8333 AUSTIN ST APT 3M
Practice Address - Street 2:
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415-1813
Practice Address - Country:US
Practice Address - Phone:718-441-3177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-01
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst