Roa, Alec Daniel

Roa, Alec Daniel is an individual health care provider with primary practice located at 77 Warren St Bldg 5 , Brighton MA 02135-3601. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Roa, Alec Daniel can be contacted via phone (617) 254-1271.

Contact Information

Primary practice address
77 Warren St Bldg 5 Brighton MA 02135-3601
Phone: (617) 254-1271
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1720649619
LBN Legal business name Roa, Alec Daniel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2019
Last updated Sep 20th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720649619 NPPES
California Other 08745596 KAISER

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