Individual
ALEXYS WENISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
210 EDWARDS VILLAGE BLVD, EDWARDS, CO 81632-5277
(970) 446-6481
Mailing address
PO BOX 2219, 211 NOTTINGHAM RD, AVON, CO 81620
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-63713
CO
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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