Healthcare Provider Details

I. General information

NPI: 1235049149
Provider Name (Legal Business Name): ALEXA GELMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

285 OLD WESTPORT RD
DARTMOUTH MA
02747-2356
US

IV. Provider business mailing address

99 ROCKLAND ST
WEST ROXBURY MA
02132-6332
US

V. Phone/Fax

Practice location:
  • Phone: 617-501-5659
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: