Individual
MRS. ALEXIS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5296 PETERS CREEK RD, ROANOKE, VA 24019-3808
(540) 215-0535
Mailing address
5296 PETERS CREEK RD, ROANOKE, VA 24019-3808
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133005009
VA
Other
Enumeration date
02/20/2026
Last updated
02/20/2026
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