Individual
ALEXANDRA SHOUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 SW FRAZIER AVE, TOPEKA, KS 66606-1963
(785) 232-5005
(888) 972-5038
Mailing address
325 SW FRAZIER AVE, TOPEKA, KS 66606-1963
(785) 232-5005
(888) 972-5038
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-74193
KS
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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