Individual
ALEXA VANALST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
823 MAPLE ST, BRAINERD, MN 56401-3770
(218) 296-3616
Mailing address
823 MAPLE ST, BRAINERD, MN 56401-3770
(218) 454-3826
(218) 454-1024
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/19/2020
Last updated
07/13/2021
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