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Individual

ALEXIS M WEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1900 INDIAN WOOD CIR STE 100, MAUMEE, OH 43537-4033
(419) 830-0078
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RBT-19-80201
RBT CERTIFICATE
Enumeration date
06/28/2019
Last updated
06/28/2019
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