Individual
ALEXIS BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1010 WAYNE AVE STE 675, SILVER SPRING, MD 20910-5676
(240) 292-1719
Mailing address
6326 WIMBLEDON CT, ELKRIDGE, MD 21075-5900
(410) 980-5795
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-49705
MD
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/12/2019
Last updated
04/15/2024
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