Individual
ALEXIS NICOLE SIDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27777 INKSTER RD, FARMINGTON HILLS, MI 48334-5310
(248) 436-6561
Mailing address
27777 INKSTER RD, FARMINGTON HILLS, MI 48334-5310
(248) 436-6561
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-253696
WV
Other
Enumeration date
01/30/2023
Last updated
10/23/2025
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