Provider Demographics
NPI:1114776358
Name:YOUNG, ALEXANDRIA D (MBA)
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:D
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 MORTON ST
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-2860
Mailing Address - Country:US
Mailing Address - Phone:774-520-6927
Mailing Address - Fax:
Practice Address - Street 1:34 VICKSBURG ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904-2148
Practice Address - Country:US
Practice Address - Phone:774-520-6927
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-17
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator