Individual
ALEXIS JERNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11748 MAGNOLIA AVE STE B, RIVERSIDE, CA 92503-4955
(951) 440-6220
Mailing address
15599 AVENIDA MIROLA, DESERT HOT SPRINGS, CA 92240-7093
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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