Provider Demographics
NPI:1629823604
Name:ALIBAEVA, HULKAR SARDORQIZI
Entity type:Individual
Prefix:
First Name:HULKAR
Middle Name:SARDORQIZI
Last Name:ALIBAEVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KIARA
Other - Middle Name:
Other - Last Name:ALIBAEVA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:5 TANGLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-4404
Mailing Address - Country:US
Mailing Address - Phone:508-298-9061
Mailing Address - Fax:
Practice Address - Street 1:5 TANGLEWOOD DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-4404
Practice Address - Country:US
Practice Address - Phone:508-298-9061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician