Provider Demographics
NPI:1588432439
Name:BURKHARD, ALEXIA A (BS)
Entity type:Individual
Prefix:
First Name:ALEXIA
Middle Name:A
Last Name:BURKHARD
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:ALEXIA
Other - Middle Name:A
Other - Last Name:DELARA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5 ARCADIA DR
Mailing Address - Street 2:
Mailing Address - City:PERALTA
Mailing Address - State:NM
Mailing Address - Zip Code:87042-8889
Mailing Address - Country:US
Mailing Address - Phone:505-948-4858
Mailing Address - Fax:
Practice Address - Street 1:3736 EUBANK BLVD NE STE B1
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-3583
Practice Address - Country:US
Practice Address - Phone:505-382-1578
Practice Address - Fax:888-506-2110
Is Sole Proprietor?:No
Enumeration Date:2023-12-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker