Individual
ALEXA P SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
30755 BARRINGTON ST, MADISON HEIGHTS, MI 48071-1881
(248) 965-3916
Mailing address
17709 ADDISON ST, SOUTHFIELD, MI 48075-2766
(734) 748-2902
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001496
MI
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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