Individual
ALEXIS WICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
2111 GOLFSIDE RD STE 3, YPSILANTI, MI 48197-1145
(248) 846-8700
Mailing address
2733 E 12TH ST STE C2, BROOKLYN, NY 11235-4672
(248) 846-8700
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401000906
MI
247200000X
Other Technician
—
—
Other
Enumeration date
09/01/2016
Last updated
03/26/2026
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