Individual
ALEXIS COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 DENNIS FLAT RD, DEETH, NV 89823
(775) 340-8580
Mailing address
1805 RUBY VIEW DR APT 10, ELKO, NV 89801-2642
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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