Individual
ALEXIS M VANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 PADRE PKWY, ROHNERT PARK, CA 94928-2124
(707) 521-9993
Mailing address
3205 WOOLSEY RD, WINDSOR, CA 95492-6603
(415) 301-8007
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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