Individual
ALEXIS HAIRSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5016 BARTLEY WAY, MC LEANSVILLE, NC 27301-9293
(336) 340-3703
Mailing address
5016 BARTLEY WAY, MC LEANSVILLE, NC 27301-9293
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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