Individual
ALEXIS NIKOLE ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7215 WESTSHIRE DR, LANSING, MI 48917-9764
(517) 657-2638
Mailing address
7215 WESTSHIRE DR, LANSING, MI 48917-9764
(517) 657-2638
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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