Provider Demographics
NPI:1609638626
Name:PYATSKY, ALEXA FRANCIA
Entity Type:Individual
Prefix:
First Name:ALEXA
Middle Name:FRANCIA
Last Name:PYATSKY
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 1:12032 83RD AVE APT 2F
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-1356
Mailing Address - Country:US
Mailing Address - Phone:516-477-9875
Mailing Address - Fax:
Practice Address - Street 1:12032 83RD AVE APT 2F
Practice Address - Street 2:
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415-1356
Practice Address - Country:US
Practice Address - Phone:516-477-9875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty