Provider Demographics
NPI:1821388455
Name:ULIBARRI, ALIXANDREA LASHAE
Entity Type:Individual
Prefix:
First Name:ALIXANDREA
Middle Name:LASHAE
Last Name:ULIBARRI
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 1:1481 W WARM SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-7633
Mailing Address - Country:US
Mailing Address - Phone:702-547-0201
Mailing Address - Fax:
Practice Address - Street 1:1481 W WARM SPRINGS RD
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-7633
Practice Address - Country:US
Practice Address - Phone:702-547-0201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-16
Last Update Date:2011-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor