Individual
ALEXIS IVAN RENTERIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
44 SHUCKIN ST UNIT 105, HAMPSTEAD, NC 28443-8731
(910) 599-2230
Mailing address
425 DARLINGTON AVE, WILMINGTON, NC 28403-1466
(919) 758-1401
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/27/2026
Last updated
07/27/2026
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