Provider Demographics
NPI:1881578979
Name:ALVAREZ, DEYASDRI
Entity type:Individual
Prefix:
First Name:DEYASDRI
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DEYASDRI
Other - Middle Name:
Other - Last Name:ULERIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:893 BOSTON RD APT 4109
Mailing Address - Street 2:
Mailing Address - City:BRADFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01835-1011
Mailing Address - Country:US
Mailing Address - Phone:978-701-2205
Mailing Address - Fax:
Practice Address - Street 1:893 BOSTON RD APT 4109
Practice Address - Street 2:
Practice Address - City:BRADFORD
Practice Address - State:MA
Practice Address - Zip Code:01835-1011
Practice Address - Country:US
Practice Address - Phone:978-701-2205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-02
Last Update Date:2025-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALABA10001601103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst