Individual
MRS. ALEXIS RAE SKIDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA PSYCHOLOGY
Contact information
Practice address
2801 ALEXANDRA DR APT 2913, ROSEVILLE, CA 95661-6031
(707) 774-4298
Mailing address
2801 ALEXANDRA DR APT 2913, ROSEVILLE, CA 95661-6031
(707) 774-4298
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/06/2018
Last updated
05/06/2018
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