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Alexis Kaitlyn Anderson

Behavior Technician in Mt Juliet, TN. Individual provider (NPI-1).

NPI number1578286241
StatusActive
Last updated in NPPESSep 19, 2022

Details

NPI
1578286241
Entity type
Individual (NPI-1)
Name
Mrs. Alexis Kaitlyn Anderson
Sex
Female
Sole proprietor
No
Enumeration date
Sep 19, 2022
Certification date
Sep 19, 2022
Last updated
Sep 19, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–TNYes

Practice location

1535 N Mount Juliet Rd
Mt Juliet, TN 37122-3315

Phone 615-560-6622

Mailing address

900 E Main St Apt 9
Murfreesboro, TN 37130-3981

Phone 865-617-1715

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