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Individual

ALEXANDER MINIX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RBT

Contact information

Practice address
251 W 84TH DR, MERRILLVILLE, IN 46410-6243
(219) 205-3463
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-242887
IN

Other

Enumeration date
04/14/2023
Last updated
04/14/2023
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