Individual
ALEXA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5155 PENNWOOD DR, INDIANAPOLIS, IN 46205-1585
(317) 571-1042
Mailing address
5155 PENNWOOD DR, INDIANAPOLIS, IN 46205-1585
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
23-278051
IN
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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