Individual
ALEXIS KOUTELAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 W FRANCISCAN DR, CROWN POINT, IN 46307-4802
(888) 419-2576
Mailing address
387 BRIARWOOD DR, VALPARAISO, IN 46385-8808
(219) 786-0673
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
03/28/2025
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