Individual
ALEXIS CORNELIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
255 E RINCON ST, CORONA, CA 92879-1367
(951) 817-5328
Mailing address
255 E RINCON ST, CORONA, CA 92879-1367
(951) 817-5328
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
04/01/2015
Last updated
03/29/2023
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