Individual
ALEXIS WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
188 ROYAL CREEK DR, LEXINGTON, SC 29072-8237
(803) 673-4116
Mailing address
188 ROYAL CREEK DR, LEXINGTON, SC 29072-8237
(803) 673-4116
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-60180
SC
106S00000X
Behavior Technician
—
SC
Other
Enumeration date
06/07/2021
Last updated
07/05/2022
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