Individual
ALEXIS VICTORIA AMANDA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7808 PACIFIC AVE STE 9, TACOMA, WA 98408-7062
(866) 240-0808
Mailing address
7808 PACIFIC AVE STE 9, TACOMA, WA 98408-7062
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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