Alexis Toles
Behavior Technician in Massapequa, NY. Individual provider (NPI-1).
NPI number1831995141
StatusActive
Last updated in NPPESFeb 19, 2025
Details
- NPI
- 1831995141
- Entity type
- Individual (NPI-1)
- Name
- Alexis Toles
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 19, 2025
- Certification date
- Feb 19, 2025
- Last updated
- Feb 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
248 Riviera Dr WMassapequa, NY 11758-8523
Phone 631-317-8088
Mailing address
248 Riviera Dr WMassapequa, NY 11758-8523
Phone 631-317-8088
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