Individual
ALEXIS SHELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6421 CAMP BOWIE BLVD STE 100, FORT WORTH, TX 76116-5419
(469) 460-5237
Mailing address
6421 CAMP BOWIE BLVD STE 100, FORT WORTH, TX 76116-5419
(469) 460-5237
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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