Individual
ALEXANDRIA LESLIE SWICEGOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3715 S 1ST ST APT 464, AUSTIN, TX 78704-0109
(254) 247-5441
Mailing address
401 W AVENUE E APT B, COPPERAS COVE, TX 76522-2174
(254) 247-5441
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-21-154829
REGISTERED BEHAVIOR TECHNICHIAN
—
Enumeration date
02/07/2021
Last updated
02/07/2021
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