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Individual

ALEXIS MONTANA PIERCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
221 S 4TH ST, GADSDEN, AL 35901-4213
(256) 459-5499
Mailing address
3470 GREEN VALLEY RD, SOUTHSIDE, AL 35907-6123

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
BACB450711
AL
Enumeration date
11/12/2018
Last updated
11/12/2018
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