Individual
ALEXANDRIA SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32650 STATE ROUTE 20 STE E204, OAK HARBOR, WA 98277-2686
(208) 996-2811
Mailing address
32650 STATE ROUTE 20 STE E204, OAK HARBOR, WA 98277-2686
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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