Individual
ALEXIS PAIGE MANTANONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
503 S PAULA AVE, WICHITA, KS 67209-1658
(316) 322-5229
Mailing address
503 S PAULA AVE, WICHITA, KS 67209-1658
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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