Individual
ALEXXA DECARLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10450 72ND AVE, PLEASANT PRAIRIE, WI 53158-2911
(262) 657-6453
(262) 671-5013
Mailing address
4030 S LAKE DR UNIT 1, ST FRANCIS, WI 53235-5249
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-75336
WI
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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