Individual
ALEXUS LYNN DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5625 N GERMAN CHURCH RD STE 3117, INDIANAPOLIS, IN 46235-8513
(317) 886-8900
Mailing address
945 N CENTRAL AVE, WOODMERE, NY 11598-1604
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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