Individual
ALEXSIS SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5268 NICHOLSON LN # 188G, KENSINGTON, MD 20895-1009
(517) 317-1792
Mailing address
5268 NICHOLSON LN # 188G, KENSINGTON, MD 20895-1009
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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