Individual
ALEXIS ANN WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1316 W DRAGOON TRL, MISHAWAKA, IN 46544-4713
(574) 855-4292
Mailing address
1316 W DRAGOON TRL, MISHAWAKA, IN 46544-4713
(574) 855-4292
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-55751
IN
106S00000X
Behavior Technician
Primary
RBT-18-56064
IN
Other
Enumeration date
10/25/2021
Last updated
07/27/2026
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