Provider Demographics
NPI:1174132740
Name:BUCO ALVARADO, CHLOE
Entity type:Individual
Prefix:
First Name:CHLOE
Middle Name:
Last Name:BUCO ALVARADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 234
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-0334
Mailing Address - Country:US
Mailing Address - Phone:781-526-9657
Mailing Address - Fax:
Practice Address - Street 1:360 ROUTE 101 STE 11
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-5031
Practice Address - Country:US
Practice Address - Phone:603-471-2522
Practice Address - Fax:877-754-5246
Is Sole Proprietor?:No
Enumeration Date:2020-07-29
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician