Individual
ALEXIS CALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 MEDICAL CENTER DR, PRATTVILLE, AL 36066-7286
(334) 491-3020
Mailing address
114 MEDICAL CENTER DR, PRATTVILLE, AL 36066-7286
(334) 491-3020
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-250372
AL
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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