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Individual

ALEXIA WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2703 SE OTIS CORLEY DR STE 11, BENTONVILLE, AR 72712-3414
(479) 339-9678
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-301766
AR

Other

Enumeration date
10/16/2023
Last updated
10/16/2023
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