Individual
MRS. ALEXA RENEE GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
2393 BAYWOOD DR, LIMA, OH 45805-3401
(419) 302-2286
Mailing address
2393 BAYWOOD DR, LIMA, OH 45805-3401
(419) 302-2286
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1-14-9735
OH
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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