Individual
ALEXIS DAUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1031 E FAYETTE ST, SYRACUSE, NY 13210-1022
(315) 732-3431
Mailing address
108 NIBLICK CIR, BALDWINSVILLE, NY 13027-3500
(315) 729-8761
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/25/2021
Last updated
04/25/2021
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