Individual
ALEXIS WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 S GESSNER RD STE 300, HOUSTON, TX 77063-5284
(713) 782-1330
Mailing address
3500 S GESSNER RD STE 300, HOUSTON, TX 77063-5284
(713) 782-1330
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-216765
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-22-216765
RBT
TX
Enumeration date
05/23/2022
Last updated
05/23/2022
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