Individual
ALEXIS ANN WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
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
106S00000X
Behavior Technician
Primary
RBT-18-56064
IN
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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