Alexis Michele Nowak
Behavior Technician in Detroit, MI. Individual provider (NPI-1).
NPI number1013661578
StatusActive
Last updated in NPPESFeb 5, 2022
Details
- NPI
- 1013661578
- Entity type
- Individual (NPI-1)
- Name
- Alexis Michele Nowak
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 3, 2022
- Certification date
- Feb 5, 2022
- Last updated
- Feb 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 103K00000X | Behavior Analyst | – | – |
Practice location
400 Renaissance Ctr Ste 2600Detroit, MI 48243-1502
Phone 855-832-6727
Mailing address
7108 S Kanner HwyStuart, FL 34997-7462
Phone 855-832-6727
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