Individual
ALEXIS CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 SAGE STEET, APARTMENT 3-C208B, DAVIS, CA 95616-4414
(562) 666-6617
Mailing address
100 SAGE STEET, APARTMENT 3-C208B, DAVIS, CA 95616-4414
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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