Individual
ALEXA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 S ACADEMY BLVD STE 140, COLORADO SPRINGS, CO 80910-3922
(188) 875-4039
Mailing address
46 PORTERO DR, PUEBLO, CO 81005-2920
(719) 415-8537
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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