Individual
ALEXIS TATIANNA BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
14611 W CENTER RD, OMAHA, NE 68144-3219
(407) 497-9548
Mailing address
3110 RETREAT DR APT 103, KISSIMMEE, FL 34741-7877
(407) 497-9548
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
02/13/2025
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