Individual
MRS. ALEXIS TAYLOR COGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT, QMHP-T
Contact information
Practice address
1320 PLANTATION RD NE, ROANOKE, VA 24012-5713
(540) 266-7903
(866) 499-8840
Mailing address
1320 PLANTATION RD NE, ROANOKE, VA 24012-5713
(540) 266-7903
(866) 499-8840
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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