Provider Demographics
NPI:1013884071
Name:RIDDLE, ALINA MICHELLE
Entity type:Individual
Prefix:MISS
First Name:ALINA
Middle Name:MICHELLE
Last Name:RIDDLE
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 1:98 STACEY RD
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-1433
Mailing Address - Country:US
Mailing Address - Phone:508-308-4121
Mailing Address - Fax:
Practice Address - Street 1:98 STACEY RD
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-1433
Practice Address - Country:US
Practice Address - Phone:508-308-4121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-22
Last Update Date:2025-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician