Individual
ALEXIS THRASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6220 SOUTHWEST BLVD, BENBROOK, TX 76109-6906
(817) 406-1470
Mailing address
PO BOX 740780, ATLANTA, GA 30374-0780
(855) 223-7123
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-80336
TX
106S00000X
Behavior Technician
RBT-22-205228
TX
106S00000X
Behavior Technician
RBT-22-205229
TX
Other
Enumeration date
03/16/2022
Last updated
06/16/2026
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