Individual
ALEXIS ISABELLA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3800 HARRISBURG RD APT 1002, JONESBORO, AR 72404-9182
(879) 815-0683
Mailing address
3800 HARRISBURG RD APT 1002, JONESBORO, AR 72404-9182
(870) 815-0683
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12258246
AR
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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