Individual
AUTUMN ALEXA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9314 RYDER DR, SAN ANTONIO, TX 78254-2000
(979) 216-5529
Mailing address
947 NAVIDAD ST, BRYAN, TX 77801-2818
(903) 292-8689
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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