Individual
ALEXIS BALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4929 DARCY WOODS LN, FUQUAY VARINA, NC 27526-7622
(919) 810-1459
Mailing address
4929 DARCY WOODS LN, FUQUAY VARINA, NC 27526-7622
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-22-228747
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RBT-22-228747
—
NC
Enumeration date
08/11/2022
Last updated
08/11/2022
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