Individual
ALEXA KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9900 GILMORE RIDGE RD, NASHVILLE, IN 47448-9731
(812) 322-0313
Mailing address
9900 GILMORE RIDGE RD, NASHVILLE, IN 47448-9731
(812) 322-0313
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-50216
IN
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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