Provider Demographics
NPI:1558622662
Name:ALEXANDER, DAMALI (MS, BCBA, NYS-LBA)
Entity Type:Individual
Prefix:MS
First Name:DAMALI
Middle Name:
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:MS, BCBA, NYS-LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:182 STERLING ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11225-3417
Mailing Address - Country:US
Mailing Address - Phone:718-610-9645
Mailing Address - Fax:
Practice Address - Street 1:182 STERLING ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-3417
Practice Address - Country:US
Practice Address - Phone:718-610-9645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-05
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist