Individual
ALEXA CHITTUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 E MAIN ST, FRONT ROYAL, VA 22630-3337
(571) 393-0202
Mailing address
116 E MAIN ST, FRONT ROYAL, VA 22630-3337
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133004886
VA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/22/2022
Last updated
01/15/2026
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