Most Relevant Information
Provider Data
| NPI Number: | 1003417775 |
| Provider Name: | ALEXANDRA M COOPER BATES |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/08/2020 |
| Last Updated: | 11/08/2020 |
Provider Practice Location
7090 SAMUEL MORSE DR STE 100
COLUMBIA
MD
210463444
Practice Location Phone/Fax
| Phone: | 8883445977 |
| Fax: |
Provider Mailing Location
7090 SAMUEL MORSE DR STE 100
COLUMBIA
MD
210463444
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |