Individual
ALEXIS WADSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
423 COMMERCE RD, RICHMOND, IN 47374-2646
(317) 572-5315
Mailing address
8840 CHRISTYGATE LN, DAYTON, OH 45424-6423
(765) 389-5068
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-251567
IN
106S00000X
Behavior Technician
Primary
RBT-22-251567
OH
Other
Enumeration date
05/15/2023
Last updated
08/07/2026
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