Individual
ALEXA PERRIGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2161 N ASTURIAN AVE, MIDDLETON, ID 83644-6197
(208) 996-3611
Mailing address
2161 N ASTURIAN AVE, MIDDLETON, ID 83644-6197
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-27887
ID
Other
Enumeration date
10/09/2017
Last updated
10/16/2025
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