Individual
ALEXIS RUMBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14131 MIDWAY RD, ADDISON, TX 75001-3623
(469) 351-4203
(972) 850-0882
Mailing address
14131 MIDWAY RD, ADDISON, TX 75001-3623
(469) 351-4203
(972) 850-0882
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-113280
OK
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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