Individual
ALEXIS N RALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2740 COLLEGE AVE, CONWAY, AR 72034-6141
(501) 329-5459
(501) 327-1738
Mailing address
2740 COLLEGE AVE, CONWAY, AR 72034-6141
(501) 329-5459
(501) 327-1738
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-184475
AR
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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