Individual
MRS. FALLON ALEXANDRA URBANAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
(877) 299-1655
Mailing address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12153748
—
106E00000X
Assistant Behavior Analyst
02011145
FL
106S00000X
Behavior Technician
RBT-18-67637
FL
Other
Enumeration date
11/12/2018
Last updated
05/07/2026
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