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NPI Code Detail

MEDICARE: ALEXANDRA MARIE ROCKWELL

MEDICARE: ALEXANDRA MARIE ROCKWELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1912736505
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA MARIE ROCKWELL
Provider Business Mailing Address
First Line : 1111 W GANSON ST
Second Line :
City : JACKSON
State : MI
Zip : 49202-4208
Country : US
Telephone Number : 810-584-1383
Fax Number :
Provider Business Practice Location Address
First Line : 1111 W GANSON ST
Second Line :
City : JACKSON
State : MI
Zip : 49202-4208
Country : US
Telephone Number : 810-584-1383
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2024
Last Update Date : 07/31/2024

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Directions to “ ALEXANDRA MARIE ROCKWELL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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