Provider Demographics
NPI:1982298493
Name:NARVAEZ, ALONDRA
Entity Type:Individual
Prefix:MS
First Name:ALONDRA
Middle Name:
Last Name:NARVAEZ
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 1:8010 ROOSEVELT AVE APT 2R
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-6722
Mailing Address - Country:US
Mailing Address - Phone:347-779-3323
Mailing Address - Fax:
Practice Address - Street 1:8010 ROOSEVELT AVE APT 2R
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-6722
Practice Address - Country:US
Practice Address - Phone:347-779-3323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-24
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician