Provider Demographics
NPI:1386495042
Name:ALEXANDRE CADET, WEEDZ-KENDY
Entity type:Individual
Prefix:
First Name:WEEDZ-KENDY
Middle Name:
Last Name:ALEXANDRE CADET
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:826 WILLARD ST APT 207
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-7466
Mailing Address - Country:US
Mailing Address - Phone:754-367-1584
Mailing Address - Fax:
Practice Address - Street 1:1047 SOUTHERN ARTERY APT 612
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-8345
Practice Address - Country:US
Practice Address - Phone:754-367-1584
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-01
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician