Individual provider · NPI-1
Kimberly Michelle Alexander, CAMS, CCIS, CDVS, PI
Behavior Analyst · Lexington, TN
NPI number1659850063
StatusActive
Last updated in NPPESAug 8, 2018
Details
- NPI
- 1659850063
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Michelle Alexander
- Credential
- CAMS, CCIS, CDVS, PI
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 8, 2018
- Last updated
- Aug 8, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 2080C0008X | Pediatrics, Child Abuse Pediatrics | – | – | |
| 222Q00000X | Developmental Therapist | – | – |
Practice location
1490b N Broad StLexington, TN 38351-4700
Phone 731-798-5055 · Fax 731-968-0400
Mailing address
1490b N Broad StLexington, TN 38351-4700
Phone 731-798-5055 · Fax 731-968-0400
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