Individual
ALEXIS BALEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
3120 OLD FAITHFUL RD STE 100, CHEYENNE, WY 82001-5890
(630) 863-1149
Mailing address
3120 OLD FAITHFUL RD STE 100, CHEYENNE, WY 82001-5890
(630) 863-1149
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-46364
IL
103K00000X
Behavior Analyst
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Other
Enumeration date
08/23/2018
Last updated
01/25/2021
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