Individual
ALEXIS PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2415 WALL ST SE, CONYERS, GA 30013-6384
(470) 207-8845
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-238088
GA
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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