Individual
ALEXIS KIANNA GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10201 CHESAPEAKE CIR, WALLED LAKE, MI 48390-5905
(248) 513-1724
Mailing address
10201 CHESAPEAKE CIR, WALLED LAKE, MI 48390-5905
(248) 513-1724
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MI
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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