Individual
ALEXA GRACE DYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6413 QUINCE RD, MEMPHIS, TN 38119-8219
(901) 690-5213
Mailing address
2527 INVERARY DR, MEMPHIS, TN 38119-7708
(901) 481-8018
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
24-378511
TN
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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