Individual
ALEXIS HYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
610 HUMBOLDT ST, MANHATTAN, KS 66502-6035
(785) 706-9352
Mailing address
5863 NW 72ND ST, KANSAS CITY, MO 64151-1483
(816) 984-8280
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
23-290977
TX
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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