Individual
ALEXIS LEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 N HIGH ST, COLUMBUS, OH 43201-2460
(614) 299-6600
Mailing address
1301 N HIGH ST, COLUMBUS, OH 43201-2460
(614) 299-6600
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/15/2019
Last updated
04/08/2021
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