Individual
ALEXIS SHANICE MCCLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
407 RANN CT, FREDERICKSBURG, VA 22401-2715
(540) 623-0693
Mailing address
407 RANN CT, FREDERICKSBURG, VA 22401-2715
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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