Individual
ALEXIS IVANNA DESICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1033 LARCHWOOD RD, MANSFIELD, OH 44907-2424
(419) 747-4122
Mailing address
165 W HENRY ST, BUTLER, OH 44822-9779
(740) 501-7346
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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