Individual
ALEXIS CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12303 E 104TH PL UNIT 105, COMMERCE CITY, CO 80022-2098
(720) 642-7019
Mailing address
12303 E 104TH PL UNIT 105, COMMERCE CITY, CO 80022-2098
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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