Individual
ALEXIS DANIELLE AGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
209 FLAGSTONE LN, RAEFORD, NC 28376
(516) 703-6400
Mailing address
122 HICKMAN CT, RAEFORD, NC 28376-9624
(616) 819-9394
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3567
NC
Other
Enumeration date
03/22/2022
Last updated
11/24/2025
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