Individual
ALEXIS WALTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7561 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4131
(219) 881-8400
Mailing address
9022 KRESS RD, FORT WAYNE, IN 46809-9750
(260) 600-1672
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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