Individual
ALEXIS VUKELICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
584 MOUNT PLEASANT RD, KINGSTON SPRINGS, TN 37082-9081
(615) 579-4910
Mailing address
584 MOUNT PLEASANT RD, KINGSTON SPRINGS, TN 37082-9081
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-57776
CO
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-20-127489
BACB REGISTRATION NUMBER
—
Enumeration date
07/21/2020
Last updated
04/17/2026
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