Individual
ALEXIE NICOLE MCPETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
875 S GENEVA RD APT 2-309, OREM, UT 84058-5981
(385) 254-5568
Mailing address
1875 S GENEVA RD, OREM, UT 84058-2217
(801) 437-0490
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/27/2020
Last updated
07/16/2021
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