Provider Demographics
NPI:1760170591
Name:DOODY, ALEXANDRIA MARIE
Entity Type:Individual
Prefix:MS
First Name:ALEXANDRIA
Middle Name:MARIE
Last Name:DOODY
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 1:112 NORTHINGTON DR
Mailing Address - Street 2:
Mailing Address - City:EAST AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14051-1717
Mailing Address - Country:US
Mailing Address - Phone:716-208-1940
Mailing Address - Fax:
Practice Address - Street 1:1001 MAIN STREET
Practice Address - Street 2:ROBERT WARNER CENTER- SECOND FLOOR
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203
Practice Address - Country:US
Practice Address - Phone:716-323-6417
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-28
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002789103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst