Individual
ALEXIS REEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
428 W 15TH ST STE 1, EDMOND, OK 73013-3690
(405) 205-2013
Mailing address
11247 PARADISE OUT LN, OKLAHOMA CITY, OK 73131-3101
(520) 840-7359
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OK
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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