Alexis Jewel Heeren
Behavior Analyst in Maple Grove, MN. Individual provider (NPI-1).
NPI number1336077759
StatusActive
Last updated in NPPESMay 13, 2026
Details
- NPI
- 1336077759
- Entity type
- Individual (NPI-1)
- Name
- Alexis Jewel Heeren
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 13, 2026
- Certification date
- May 13, 2026
- Last updated
- May 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | MN | Yes |
Other names
- Alexis Jewel Nimmo (Former Name)
Practice location
13601 80th Cir N Ste 200Maple Grove, MN 55369-9801
Phone 763-272-5877
Mailing address
18726 S Western AveGardena, CA 90248-3813
Phone 310-856-0800
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