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Individual

ALEXA MUNGAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
110 BIRCHWOOD DR, LEBANON, IN 46052-2707
(765) 481-2260
Mailing address
3730 ROME TER, INDIANAPOLIS, IN 46228-6718
(574) 261-3984

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0-16-6952
IN
103K00000X
Behavior Analyst
Primary
1-16-24235

Other

Enumeration date
04/21/2016
Last updated
04/16/2022
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