Individual
ALEXANDRA MAILANDE VISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, M.ED.
Contact information
Practice address
9390 RESEARCH BLVD STE 100, AUSTIN, TX 78759-6585
(512) 330-9520
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-50190
TX
106S00000X
Behavior Technician
00002176
TX
Other
Enumeration date
02/05/2018
Last updated
08/19/2022
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