Individual
ALEXIS WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1106 REVOLUTION ST, HAVRE DE GRACE, MD 21078-3721
(410) 776-4640
Mailing address
1106 REVOLUTION ST, HAVRE DE GRACE, MD 21078-3721
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-226127
—
Other
Enumeration date
03/17/2021
Last updated
08/19/2022
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