Individual
ALEXIS ROSE MOULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4778 OVERTON RD, BIRMINGHAM, AL 35210-3803
(205) 957-0294
Mailing address
200 VESTAVIA PKWY STE 2400, VESTAVIA, AL 35216-3797
(205) 490-3931
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/28/2023
Last updated
07/21/2023
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