Provider Demographics
NPI:1366164055
Name:WASZEWSKI, ALEXIA RAE
Entity type:Individual
Prefix:
First Name:ALEXIA
Middle Name:RAE
Last Name:WASZEWSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALEXIA
Other - Middle Name:RAE
Other - Last Name:BIZIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:323 BLUEBELL AVE
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-2079
Mailing Address - Country:US
Mailing Address - Phone:267-216-5718
Mailing Address - Fax:
Practice Address - Street 1:7002 W BUTLER PIKE FL 1
Practice Address - Street 2:
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-5107
Practice Address - Country:US
Practice Address - Phone:215-285-3688
Practice Address - Fax:844-966-0703
Is Sole Proprietor?:No
Enumeration Date:2022-09-19
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
BACB666395103K00000X
PABH006112103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst