Individual
ALEXANDRIA WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11530 ALLISONVILLE RD, FISHERS, IN 46038-1866
(317) 742-9730
(765) 448-1864
Mailing address
2785 CASON ST # 2, LAFAYETTE, IN 47904-2843
(765) 446-4185
(765) 448-1864
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-199032
IN
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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